DANIEL DE GASTON DO NPI 1215431622

NPI Information

NPI: 1215431622
Provider Name: DANIEL DE GASTON, DO
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107
Phone: (918) 582-1980
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Daniel De Gaston, DO is a general practice in Tulsa, OK. Daniel De Gaston, DO NPI is 1215431622. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107-705
Phone: (918) 582-1980
Fax: (918) 561-1289

The enumeration date for this NPI number is 3/20/2018 and was last updated on 4/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		6640	OKLAHOMA	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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