| Dr Gary L Gillen | |
|
131 Lewis Ave Circleville OH 43113 | |
| (740) 420-9288 | |
| (740) 420-3070 |
| Full Name | Dr Gary L Gillen |
|---|---|
| Speciality | Family Medicine |
| Location | 131 Lewis Ave, Circleville, Ohio |
| Authorized Official Name and Position | Gary Lee Gillen (OWNER SOLE PROPRIETOR) |
| Authorized Official Contact | 7404209288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary L Gillen Po Box 39 131 Lewis Ave Circleville OH 43113 Ph: (740) 420-9288 | Dr Gary L Gillen 131 Lewis Ave Circleville OH 43113 Ph: (740) 420-9288 |
| NPI Number | 1962601369 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 07/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962601369 | NPI | - | NPPES |
| GA9339531 | Other | OH | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Ohio) | Primary |
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