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Individual
MARK E GILLESPIE
Active
Individual
MARK E GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
24107
KY
207W00000X
Ophthalmology Physician
Primary
ME148468
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044961
ANTHEM BCBS
—
05
—
0470581032
—
IL
01
—
180011413
RAILROAD MEDICARE
—
01
—
610706763
TRICARE
—
05
—
64241078
—
KY
05
—
7100053130
—
KY
Enumeration date
03/07/2006
Last updated
06/02/2026
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