Individual
NATHAN THOMAS GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35410 DEL REY, DANA POINT, CA 92624-1814
(801) 330-9242
Mailing address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(801) 330-9242
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
A126324
CA
Other
Enumeration date
08/16/2007
Last updated
12/11/2024
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