Individual
DONALD NEVIN GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 W SPRUCE ST, MISSOULA, MT 59802-4009
(406) 728-6472
(406) 728-9175
Mailing address
610 W SPRUCE ST, MISSOULA, MT 59802-4009
(406) 728-6472
(406) 728-9175
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
3717
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034255
—
MT
Enumeration date
06/27/2006
Last updated
07/08/2007
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