Individual
JOSEPH T GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1103 KALISTE SALOOM RD, SUITE 202, LAFAYETTE, LA 70508-5783
(337) 269-6335
(337) 235-2765
Mailing address
1103 KALISTE SALOOM RD, SUITE 202, LAFAYETTE, LA 70508-5783
(337) 269-6335
(337) 235-2765
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
10009R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1979732
—
LA
Enumeration date
08/23/2006
Last updated
05/16/2013
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