Individual
GARY ALAN SALLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-8608
(740) 773-1141
(740) 772-7061
Mailing address
27 COVENTRY DR, CHILLICOTHE, OH 45601-1012
(740) 775-0364
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA050922
PA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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