Individual
MR. CRAIG LUND GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1525 WEBSTER STREET, SUITE C, FAIRFIELD, CA 94533-4935
(707) 428-0777
(707) 428-3925
Mailing address
1525 WEBSTER STREET, SUITE C, FAIRFIELD, CA 94533-4935
(707) 428-0777
(707) 428-3925
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G51486
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4544718
—
CA
Enumeration date
08/05/2006
Last updated
01/26/2009
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