Individual
DR. EVAN S GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0056902
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL-3700
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027158
KAISER COMMERCIAL NUMBER
CO
Enumeration date
06/24/2010
Last updated
05/11/2021
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