CHARLES GAST
Individual Provider (NPI-1)
Active
Otolaryngology
Provider Information
- NPI Number
1659814663- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1120 E ELIZABETH ST STE F101, FORT COLLINS, CO, 805244044
- Phone
- (970) 221-1177
Specialties & Taxonomies
Otolaryngology
Primary License: CO #0070200