Individual
DR. RICHARD GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7945 WOLF RIVER BLVD, MEMPHIS, TN 38138-1762
(901) 683-0055
Mailing address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
61084
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q065204
—
TN
Enumeration date
04/14/2014
Last updated
05/07/2021
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