Provider Demographics
NPI:1205097524
Name:GASSER, DAVID PAUL (RT(R))
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:PAUL
Last Name:GASSER
Suffix:
Gender:M
Credentials:RT(R)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 WOODLAND AVE NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-3677
Mailing Address - Country:US
Mailing Address - Phone:330-704-3545
Mailing Address - Fax:
Practice Address - Street 1:1840 WOODLAND AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-3677
Practice Address - Country:US
Practice Address - Phone:330-704-3545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography