| |
910 Wallace Ave Ste 301, Leitchfield, KY 42754-2418 | |
(270) 200-4545 | |
(270) 200-4543 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 910 Wallace Ave Ste 301, Leitchfield, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689367831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 23229, Owensboro, KY 42304-3229 Ph: (270) 688-1330 | 910 Wallace Ave Ste 301, Leitchfield, KY 42754-2418 Ph: (270) 200-4545 |
Nathaniel J. Gastaldo, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 910 Wallace Ave Ste 301, Leitchfield, KY 42754 Phone: 270-200-4545 Fax: 270-200-4543 |