Gary R. Huston D.o., INC

NPI #1114299104 in Conneaut, Ohio

Provider Information

NPI Number: 1114299104
Entity Type: Organization
Organization Name: Gary R. Huston D.o., INC
Primary Specialty: General Practice
Enumeration Date: Feb 6, 2012
Last Updated: Feb 6, 2012

Practice Location

Address: 177 WEST ST
City: Conneaut
State: Ohio
ZIP Code: 44030-2153
Phone: (440) 593-6551

Authorized Official

Name: MR. GARY ROBERT HUSTON, D.O,
Title: PRESIDENT
Phone: (440) 593-6551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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