Individual
STACY S GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
680 PELLIS RD, GREENSBURG, PA 15601-4453
(724) 832-3104
(724) 832-3689
Mailing address
520 JEFFERSON AVE, JEANNETTE, PA 15644-2538
(724) 527-8060
(724) 522-4002
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS007755L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020445800002
—
PA
Enumeration date
08/10/2006
Last updated
01/11/2017
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