Individual
ROY JACK GILLISPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5136 HWY 265, BRANSON, MO 65616-9099
(417) 338-0960
(417) 338-0968
Mailing address
5136 HWY 265, BRANSON, MO 65616-9099
(417) 338-0960
(417) 338-0968
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R2A36
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080192592
RAILROAD MEDICARE
—
05
—
201260536
—
MO
01
—
7500
BCBS
—
Enumeration date
06/16/2006
Last updated
05/01/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us