SearchArizona175F00000X

Clark Gaston, N.M.D

NPI 1437601135 · on the registry since 2016 · sole proprietor

Practice

Address
2001 E Saint Catherine Ave
Phoenix, AZ 85042
Phone
(423) 650-9133

Registry record

Primary taxonomy
175F00000X
175F00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona