Individual
PARKER DANE GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10500 MONTGOMERY RD, CINCINNATI, OH 45242
(513) 600-3087
Mailing address
5928 BONNELL RD, GUILFORD, IN 47022-9600
(513) 600-3087
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
03/11/2019
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