Individual
ELIZABETH PRATT GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 6.081 FOUNDERS, PHILADELPHIA, PA 19104-4238
(281) 610-2262
Mailing address
3 GREAT LAUREL CT, THE WOODLANDS, TX 77381-4833
(281) 610-2262
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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