Individual
ISAAC GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
901 BURNETT DR, MOUNTAIN HOME, AR 72653-2908
(870) 425-9120
Mailing address
901 BURNETT DR, MOUNTAIN HOME, AR 72653-2908
(870) 425-9120
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005429
AR
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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