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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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