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Individual

GARY M. BELCASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7425 WRIGLEY DR STE 204, PASCO, WA 99301
(509) 416-8885
Mailing address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 416-8882

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00041984
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0230131
L&I AND CRIME VICTIMS
WA
05
1871582833
WA
01
3354BE
REGENCE
WA
01
7364263
AETNA
WA
05
8335028
WA
Enumeration date
10/20/2005
Last updated
09/28/2020
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