Individual
ALLON GILLISPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2515 N WHISENANT DR STE 301, DUNCAN, OK 73533-2684
(580) 251-6806
Mailing address
3014 ERICA CIR, DUNCAN, OK 73533-2400
(580) 656-0626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0356R
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508246570
—
OK
Enumeration date
06/04/2015
Last updated
07/05/2023
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