Individual
DR. DAVID THOMAS GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6097 US HIGHWAY 6, PORTAGE, IN 46368-5046
(219) 763-1538
Mailing address
537 RAVEN RD, VALPARAISO, IN 46385-8133
(219) 759-3092
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001695B
IN
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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