| Organization Name: | DR ROLAND A GASKINS DPM INC |
| NPI Number: | 1013205806 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROLAND ANDRE GASKINS (OWNER) |
| Mailing Address: | 23025 Atlantic Cir Suite C Moreno Valley |
| State: | CA US |
| Postal Code: | 925535909 |
| Phone Number: | 9514868618 |
| Fax Number: | 9514869018 |
| NPI Enumeration Date: | 07/14/2011 |
| NPI Last Update Date: | 03/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | E3646 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |