Individual
DR. GAYLE M. GORDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
545 BARNHILL DR # 232, INDIANAPOLIS, IN 46202
(317) 944-3636
(317) 968-1371
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
01081180A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2152914
—
OH
Enumeration date
05/11/2006
Last updated
01/19/2021
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