Organization
JEAN A.GILSTRAP,M.D., P.C.
Active
Organization
JEAN A.GILSTRAP,M.D., P.C.
Active
Other names
Ozark Mental Health Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN A. GILSTRAP M.D. (OWNER)
(573) 280-5884
Entity
Organization
Contact information
Practice address
20868 LYNWOOD RD, WAYNESVILLE, MO 65583-4602
(573) 280-5884
Mailing address
PO BOX 4418, WAYNESVILLE, MO 65583-4418
(573) 280-5884
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
107251
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12046
BLUE SHIELD PROVIDER #
MO
05
—
207959818
—
MO
Enumeration date
02/21/2007
Last updated
06/19/2012
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