Individual
MR. DAVID THOMAS GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115
Mailing address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.1031
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.1031
MEDICAL LICENSE
AL
Enumeration date
02/26/2015
Last updated
03/10/2015
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