Organization · Type 2 NPI
Gary R. Huston D.o., Inc
General Practice Physician · Conneaut, OH
NPI number
1114299104
Active
Practice location
177 West St
Conneaut, OH 44030-2153
Fax (440) 593-6522
Mailing address
PO Box 635, 177 West St
Conneaut, OH 44030-0635
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 34-00-4562 (OH) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
About NPI 1114299104
Gary R. Huston D.o., Inc's National Provider Identifier is 1114299104, issued on Feb 6, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Conneaut, OH. The record was last updated on Feb 6, 2012.