Individual
DAVID CLARK GILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
N 1414 VERELER, BLDG 4, SPOKANE VALLEY, WA 99216
(509) 924-4681
(509) 922-7634
Mailing address
1414 N VERCLER RD, BLDG 4, SPOKANE VALLEY, WA 99216-1092
(509) 924-4681
(509) 922-7634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
028
ID
207Q00000X
Family Medicine Physician
Primary
OP00D00778
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003248500
MEDICAID
ID
05
—
1030337
—
WA
01
—
17418
LABOR & INDUSTRY WASH
WA
Enumeration date
01/08/2007
Last updated
11/30/2010
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