Individual
MR. WILLIAM GREGORY GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
812 UNIVERSITY ST, PELLA, IA 50219-1902
(641) 628-5328
(641) 628-5356
Mailing address
1121 BROADWAY ST, PELLA, IA 50219-1229
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00259
IA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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