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Organization
DR PATRICK S GILLESPIE A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
DR PATRICK S GILLESPIE A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK SEAN GILLESPIE MD (OWNER)
(337) 826-8044
Entity
Organization
Contact information
Practice address
414 N MAIN ST, WASHINGTON, LA 70589-4282
(337) 826-8044
(337) 826-8048
Mailing address
PO BOX 698, WASHINGTON, LA 70589-0698
(337) 826-8044
(337) 826-8048
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1913677
—
LA
Enumeration date
04/28/2010
Last updated
04/28/2010
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