Individual
NATHAN EDWARD GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 669-1284
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003620A
IN
Other
Enumeration date
02/23/2022
Last updated
08/31/2022
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