Individual
DAVID A GILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 890-2000
(317) 859-7220
Mailing address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 890-2000
(317) 859-4269
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01069762A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001010668
ANTHEM
IN
05
—
201082900
—
IN
Enumeration date
05/21/2008
Last updated
01/19/2024
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