Individual
GAYATRI ACEBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2463
(937) 399-9500
Mailing address
PO BOX 635668, CINCINNATI, OH 45263-5668
(937) 439-3600
(937) 439-3786
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.002902
OH
363AM0700X
Medical Physician Assistant
Primary
50.002902RX
OH
Other
Enumeration date
02/05/2010
Last updated
11/26/2024
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