Organization
S A GABRIEL DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW H GABRIEL D.O. (PRESIDENT OF CORPORATION)
(937) 278-8244
Entity
Organization
Contact information
Practice address
8701 OLD TROY PIKE, DAYTON, OH 45424-1066
(937) 278-8244
(937) 274-8982
Mailing address
1501 N MAIN ST, DAYTON, OH 45405-4139
(937) 278-8244
(937) 274-8982
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34003827
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000005821
BS & ANTHEM #
OH
01
—
020044283
MEDICARE RAILROAD
OH
05
—
0701593
—
OH
01
—
1720129
UHC #
OH
01
—
284564686
TRICARE PROVIDER #
OH
01
—
28456468600
BWC PROVIDER #
OH
01
—
284564686001
MEDICAL MUTUAL PROVIDER #
OH
Enumeration date
12/25/2006
Last updated
08/19/2014
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