Individual
GARY P GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5901 N LIDGERWOOD ST STE 126, SPOKANE, WA 99208-1122
(509) 444-8200
(509) 434-0392
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
(509) 444-7806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00001597
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8227449
—
WA
Enumeration date
02/21/2007
Last updated
02/25/2022
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