Individual
DR. NEIL BRYAN V GAMILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1471 CHESTER BLVD, RICHMOND, IN 47374-1945
(765) 935-8581
(765) 935-1171
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 935-8581
(765) 935-1171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01067047A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000635116
ANTHEM - RPA
—
05
—
0072391
—
OH
05
—
200958830
—
IN
Enumeration date
07/07/2008
Last updated
05/13/2021
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