Individual
JACOB GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6909 GOOD SAMARITAN DR STE B, CINCINNATI, OH 45247-5209
(513) 588-3000
Mailing address
6909 GOOD SAMARITAN DR STE B, CINCINNATI, OH 45247-5209
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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