Gaston I. S. Diallo, Md, PA
NPI #1417182619 in Leavenworth, Kansas
Provider Information
- NPI Number
- 1417182619
- Entity Type
- Organization
- Organization Name
- Gaston I. S. Diallo, Md, PA
- Primary Specialty
- General Acute Care Hospital
- Enumeration Date
- May 18, 2009
- Last Updated
- May 18, 2009
Practice Location
- Address
- 113 DELAWARE ST
- Address 2
- SUITE E
- City
- Leavenworth
- State
- Kansas
- ZIP Code
- 66048-2822
- Phone
- (913) 682-9030
Authorized Official
- Name
- DR. GASTON I. S. DIALLO, M.D.
- Title
- GASTROENTEROLOGIST
- Phone
- (913) 682-9030
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital |
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