Individual
MELISSA B. GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4747 ARAPAHOE AVE, BOULDER, CO 80303-1131
(303) 415-7000
(303) 306-7753
Mailing address
PO BOX 173894, DENVER, CO 80217-3894
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-084265
IL
207P00000X
Emergency Medicine Physician
Primary
DR.0056823
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-084265
—
IL
01
—
DR.0056823
COLORADO MEDICAL LICENSE
CO
Enumeration date
06/29/2006
Last updated
06/22/2016
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