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MR. THEODORE MARINO EZEKIEL GAGIANAS PA-C

PA-C

Surgical Physician Assistant

NPI: 1396100749IndividualAccepts Medicare

Specialties, Licenses & Credentials

Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

MA058003(PA)OA003697(PA)50.007297(OH)

Education

OTHER

Class of 2015

Contact & Hours

Address
1995 E STATE ST
SALEM, OH 44460

Quick Facts

NPI
1396100749
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
3
Locations
1
Years in Practice
11

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