IndividualActive
Charles Gast
NPI 1659814663 · Otolaryngology Physician · Fort Collins, CO
Provider details
- NPI number
- 1659814663
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 0070200 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1120 E Elizabeth St Ste F101
Fort Collins, CO 80524-4044
Phone: (970) 221-1177
Approximate (ZIP-level) locationGet directions
Mailing address
15730 Sw Misty Ct
Beaverton, OR 97007-4924
Registry dates
- Enumerated
- 2016-11-22
- Last updated
- 2023-08-04
- Certified
- 2023-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.