Gilman Peterson Md Psc

NPI 1053512483 - Specialist - 174400000X

NPI Details
NPI 1053512483
Enumeration Date 05/31/2007
Last Updated 10/10/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GILMAN P. GILMAN
Position PRESIDENT
Phone (270) 651-8328
Fax
Practice Location
109 BRAVO BLVD
GLASGOW KY, 42141-3412, US
Phone (270) 651-8328
Fax
Business Location
PO BOX 694
GLASGOW KY, 42142-0694, US
Phone (270) 651-8328
Fax
Toxanomy
Taxonomy Code 174400000X
License State Kentucky
License Number 20017
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According to our database, Gilman Peterson Md Psc NPI is 1053512483, taxonomy code is 174400000X and license number is 20017, license state is located at Kentucky. Gilman Peterson Md Psc physically located at 109 Bravo Blvd, Glasgow KY, 42141-3412. NPI Number 1033115704 has the healthcare provider type.

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1053512483 NPI number is provided on an as is basis without warranty of any kind. 1053512483 is maintained by the National Plan & Provider Enumeration System. The contents of Gilman Peterson Md Psc are for informational purposes only.