person
Mr. Theodore Marino Ezekiel Gagianas, PA-C
Surgical Physician Assistant in Salem, Ohio
NPI 1396100749

Theodore Marino Ezekiel Gagianas is a Surgical Physician Assistant based in Salem, OH and is specialized in Surgical. Theodore Marino Ezekiel Gagianas practices in Salem, OH and has the professional credentials of PA-C. The NPI Number for Theodore Marino Ezekiel Gagianas is 1396100749 and holds a License No. MA058003 (Ohio).

The current practice location address for Theodore Marino Ezekiel Gagianas is 1995 E State St, Salem, OH and can be reached out via phone at 330-332-7840 and via fax at 330-332-7847.

Location: 1995 E State St, Salem, OH, 44460-2423
person
Provider Profile Details
NPI Number
1396100749
Provider Name
Theodore Marino Ezekiel Gagianas
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1995 E State St, Salem, OH, 44460-2423
Phone Number
330-332-7840
Fax Number
330-332-7847
Provider Enumeration Date
12/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1995 E State St
City
State
Zip
44460-2423
Phone Number
330-332-7840
Fax Number
330-332-7847
person
Provider Business Mailing Address Details
Address
1995 E State St
City
State
Zip
44460-2423
Phone Number
330-332-7840
Fax Number
330-332-7847
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
MA058003 (Pennsylvania)
Definition
Definition to come...
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