Individual provider · Type 1 NPI

Gillian Teresa Alonzo Gascon, DO

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1629837091 Active

Practice location

1402 S Grand Blvd Rm M260
St. Louis, MO 63104-1004

Call (314) 617-2359 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629837091

Gillian Teresa Alonzo Gascon, DO's National Provider Identifier is 1629837091, issued on Mar 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 18, 2024.