Individual
DR. CHRISTOPHER ROBERT GAILLIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
891 W LOCUST ST, WILMINGTON, OH 45177-2118
(937) 382-5030
(937) 655-8390
Mailing address
891 W LOCUST ST, WILMINGTON, OH 45177-2118
(937) 382-5030
(937) 655-8390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35066232
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020457
ANTHEM
OH
01
—
000000020457
IRON WORKERS BENEFIT TRUS
—
05
—
0261381
—
OH
01
—
0402744
UNITED HEALTHCARE
OH
01
—
6623201
HUMANA CHOICE CARE
—
Enumeration date
08/24/2005
Last updated
05/06/2008
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