Gary P Dillon, MD | |
1500 Salem St, Lafayette, IN 47904-2164 | |
(765) 448-8000 | |
(765) 448-7029 |
Full Name | Gary P Dillon |
---|---|
Gender | Male |
Speciality | Dermatology - Dermatopathology |
Location | 1500 Salem St, Lafayette, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013923119 | NPI | - | NPPES |
000000340592 | Other | IN | ANTHEM |
100340440 | Medicaid | IN | |
000000705135 | Other | IN | ANTHEM PROVIDER PIN / TIN 35-2030653 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0900X | Dermatology - Dermatopathology | 01024462A (Indiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Gary P Dillon, MD Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Gary P Dillon, MD 1500 Salem St, Lafayette, IN 47904-2164 Ph: (765) 448-8000 |
Mark Adrian Lake, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15 Executive Dr, Suite 4, Lafayette, IN 47905 Phone: 765-838-3428 Fax: 765-838-3440 | |
Raymond Kuwahara, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1500 Salem St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8335 | |
Patricia M Dymek, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Lori Siegert Swan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2020 Union St, Suite 300, Lafayette, IN 47904 Phone: 765-446-0282 Fax: 765-446-8299 | |
Kacie Hoffman, PA-C Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8100 | |
Tamzin A Rosenwasser, Dermatology Medicare: Medicare Enrolled Practice Location: 1500 Salem St, Lafayette, IN 47904 Phone: 765-448-8000 |