Individual
JUSTIN PAUL GILDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.N.P-BC
Contact information
Practice address
212 E COLUMBUS AVE, BELLEFONTAINE, OH 43311-2033
(937) 599-1411
(937) 599-4128
Mailing address
212 E COLUMBUS AVE, BELLEFONTAINE, OH 43311-2033
(937) 599-1411
(937) 599-4128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14031
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101752
—
OH
01
—
14031
LICENSE NUMBER
OH
Enumeration date
02/12/2013
Last updated
05/16/2025
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