Romeo Gonzaga Icasiano, MD

NPI #1114928066 in Montrose, Colorado

Provider Information

NPI Number: 1114928066
Entity Type: Individual
Name: Romeo Gonzaga Icasiano, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Aug 2, 2005
Last Updated: Apr 10, 2012

Practice Location

Address: 947 SO 5TH ST
City: Montrose
State: Colorado
ZIP Code: 81401-5716
Phone: (870) 249-2421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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