Individual
JOSIE ANN GAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
631 E STATE ST, GEORGETOWN, OH 45121-1437
(937) 378-6387
(937) 378-4253
Mailing address
424 WARDS CORNER RD STE 200, LOVELAND, OH 45140-6966
(513) 707-4041
(513) 576-1020
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50002260
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072678
—
OH
Enumeration date
12/31/2009
Last updated
09/10/2020
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