| Diana L Gillmore, MD | |
|
985 Robert Blvd, #103, Slidell, LA 70458-2063 | |
| (985) 646-1884 | |
| (985) 646-1885 |
| Full Name | Diana L Gillmore |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 985 Robert Blvd, Slidell, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437147352 | NPI | - | NPPES |
| 721142319 | Other | LA | TAX ID |
| 1363367 | Medicaid | LA | |
| 39700 | Other | LA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 05478R (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Diana L Gillmore, MD 985 Robert Blvd, #103, Slidell, LA 70458-2063 Ph: (985) 646-1884 | Diana L Gillmore, MD 985 Robert Blvd, #103, Slidell, LA 70458-2063 Ph: (985) 646-1884 |
Francis J Petitto Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1051 Gause Blvd Ste 410, Slidell, LA 70458 Phone: 985-280-9002 Fax: 985-781-0200 | |
Dr. Heather Rae Bronaugh, MD Surgery Medicare: Medicare Enrolled Practice Location: 1051 Gause Blvd Ste 410, Slidell, LA 70458 Phone: 985-280-9002 Fax: 985-781-0200 | |
Richard Thomas Leblanc Jr., M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 2750 East Gause Blvd., Slidell, LA 70461 Phone: 985-639-3777 Fax: 985-646-4448 | |
Paul Russell Hastings I, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1108 Crystal Ct, Slidell, LA 70461 Phone: 985-781-0015 | |
Robert V Shafor, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1051 Gause Blvd Ste 410, Slidell, LA 70458 Phone: 985-280-9002 Fax: 985-781-0200 | |
David Baruch Kaplan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2050 Gause Blvd E Ste 250, Slidell, LA 70461 Phone: 985-646-4444 Fax: 985-646-4448 |