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Individual

DR. ALAN LANIER GABBARD II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 W MCCREIGHT AVE STE 211, SPRINGFIELD, OH 45504-1853
(937) 325-3696
(937) 325-3713
Mailing address
247 S BURNETT RD, SUITE 120, SPRINGFIELD, OH 45505-2639
(937) 324-5834
(937) 324-5832

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
35041436-G
OH
207RG0100X
Gastroenterology Physician
Primary
35.041436
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0450855
OH
Enumeration date
07/12/2005
Last updated
03/07/2023
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