Individual
DOUG GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1311 FORT STREET, SUITE J, BARLING, AR 72923
(479) 452-5040
(479) 452-5047
Mailing address
PO BOX 23070, BARLING, AR 72923-0070
(479) 452-5204
(479) 452-5047
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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