Individual
GAIL L GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-5890
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
105469
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
02001897A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
02832
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0297960
—
IA
Enumeration date
11/18/2005
Last updated
01/23/2023
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