Doctor Name: | DR. JAMES SCOTT ASTON |
NPI Number: | 1578856639 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 02004111A |
Business Practice Address: | 2900 Doolittle Dr Ellsworth Afb, SD - 577064821 |
Business Phone Number: | 6053853427 |
Business Fax Number: | 6053853451 |
Mailing Address: | 2900 Doolittle Dr, ELLSWORTH AFB |
State: | SD |
Postal Code: | 577064821 |
Phone Number: | 6053853427 |
Fax Number: | 6053853451 |
NPI Enumeration Date: | 05/24/2011 |
NPI Last Update Date: | 11/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 02004111A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |