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Individual
ROBERT PATRICK GILL
Active
Individual
ROBERT PATRICK GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35040370
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0385337
—
OH
01
—
1942630348
GROUP PTAN
OH
01
—
2821576
MEDICAID LEGACY
OH
01
—
9934723
MEDICARE ORGANIZATIONAL PTAN
OH
Enumeration date
05/13/2006
Last updated
05/29/2015
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