Individual
CAMPBELL GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 STANTON L YOUNG BLVD # WP1140, OKLAHOMA CITY, OK 73104-5036
(405) 271-4351
(405) 271-8695
Mailing address
PO BOX 26901, WP1140, OKLAHOMA CITY, OK 73126
(405) 271-4351
(405) 271-8695
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18211
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100147150B
—
OK
01
—
1085820
FIRST HEALTH
OK
01
—
175223400
DEPT OF LABOR
OK
01
—
4617947
AETNA
OK
Enumeration date
10/12/2005
Last updated
10/01/2018
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