Individual
DANIEL R GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1513 UNION AVE STE 1600, MOBERLY, MO 65270-9404
(660) 269-8752
(660) 269-8753
Mailing address
1513 UNION AVE STE 1600, MOBERLY, MO 65270-9404
(660) 269-8752
(660) 269-8753
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036101040
IL
208600000X
Surgery Physician
Primary
2011034568
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101040
—
IL
Enumeration date
11/13/2006
Last updated
09/01/2020
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