| Dr Dale Gillan Jr, MD | |
|
23450 Us Highway 160, Walsenburg, CO 81089-9104 | |
| (719) 738-4588 | |
| (719) 738-4534 |
| Full Name | Dr Dale Gillan Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 23450 Us Highway 160, Walsenburg, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578543617 | NPI | - | NPPES |
| 911190 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 33569 (Arizona) | Secondary |
| 208600000X | Surgery | MD2012-0389 (New Mexico) | Secondary |
| 208600000X | Surgery | 53050 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dale Gillan Jr, MD 23500 Us Highway 160, Walsenburg, CO 81089-9524 Ph: (719) 738-5100 | Dr Dale Gillan Jr, MD 23450 Us Highway 160, Walsenburg, CO 81089-9104 Ph: (719) 738-4588 |
Dr. Heather Irene Cook, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 23450 Us Highway 160, Walsenburg, CO 81089 Phone: 719-738-4588 | |
Sandeep Suresh Vijan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 23450 Us Highway 160, Walsenburg, CO 81089 Phone: 719-738-4588 Fax: 719-738-4534 |