Robert Todd Gillespie in Malad City - Physician Assistant
Robert Todd Gillespie - NPI 1922026467
Robert Todd Gillespie is a Physician Assistant in Malad City, Idaho. Robert Todd Gillespie practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert Todd Gillespie is 1922026467. The last update date is 2011-06-10.
Robert Todd Gillespie's current location address is 220 Bannock St, Malad City, Idaho. You can contact this provider via phone number 2087662600. The mailing address for Robert Todd Gillespie is 220 Bannock St, Malad City, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Todd Gillespie |
|---|---|
| Address | 220 Bannock St, Malad City, Idaho |
| Phone Number | 2087662600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1922026467 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2011-06-10 |
Provider Mailing Address Detail
| Address | 220 Bannock St |
|---|---|
| City | Malad City |
| State | Idaho (ID) |
| Post Code | 832521256 |
| Phone Number | 2087662600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA205 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 805203600 | ID | -- | |
| 970011284 | ID | RAILROAD MEDICARE PTAN |
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What is the Robert Todd Gillespie's unique identification number?
The Robert Todd Gillespie has been assigned the NPI (National Provider Identifier) Number 1922026467 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Robert Todd Gillespie's facilities are geographically located?
The facilities of Robert Todd Gillespie are physically situated at the following location: 220 Bannock St, Malad City, ID, 832521256.
What is the Robert Todd Gillespie's specialty and taxonomy code?
The Robert Todd Gillespie's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date was the 1922026467 assigned to Robert Todd Gillespie?
The Robert Todd Gillespie was issued its 1922026467 on 2006-07-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Robert Todd Gillespie last refreshed?
The information related to the Robert Todd Gillespie, including its address, specialty, and other relevant details, was last updated on 2011-06-10.
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