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Individual

GILBERT PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6252 MAHONING AVE, AUSTINTOWN, OH 44515-2003
(330) 792-7418
(330) 656-5901
Mailing address
5700 DARROW RD, SUITE 106, HUDSON, OH 44236-5021
(330) 656-5911
(330) 656-5901

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35079478P
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000028430
ANTHEM
OH
01
000000349348
ANTHEM
OH
01
000000381140
ANTHEM
OH
01
000000385522
ANTHEM
OH
01
001898757-0005
PENNSYLVANIA MEDICAID
OH
01
001899757-0006
PENNSYLVANIA MEDICAID
OH
05
2271661
OH
Enumeration date
12/16/2005
Last updated
06/11/2008
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