Individual
DR. ZACHARY NOAH GASTELUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 KENTUCKY ST, ASHLAND, KS 67831-3199
(620) 635-2241
Mailing address
625 KENTUCKY ST, ASHLAND, KS 67831-3199
(620) 635-2241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-44693
KS
207Q00000X
Family Medicine Physician
TL.0007184
CO
Other
Enumeration date
04/17/2018
Last updated
10/25/2021
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