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Individual

DAVID RHEA GILLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3000
Mailing address
PO BOX 7411626, CHICAGO, IL 60674-5626

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2017016028
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200044506
MO
Enumeration date
06/22/2017
Last updated
09/30/2025
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