JUSTIN T GATHERCOAL

SAN ANGELO, TX
NPI1861705865
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  OS014673)
Enumeration Date2010-07-19
Last Update Date2010-07-19
Business Address
Dr. JUSTIN T GATHERCOAL D.O.
17TH MEDICAL OPERATIONS SQUADRON GOODFELLOW AFB
SAN ANGELO, TX 76908
Phone number: 325-654-3075
Mailing Address
Dr. JUSTIN T GATHERCOAL D.O.
271 PORT RICHARDSON AVE GOODFELLOW AFB
SAN ANGELO, TX 76908
Phone number:
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