Individual
MRS. REBECCA LYNNE GILLISPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1551 E MULLAN AVE STE 102, POST FALLS, ID 83854-9005
(208) 262-2328
(208) 619-5057
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2300
(208) 262-2349
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-832
ID
363AM0700X
Medical Physician Assistant
PA10005348
WA
Other
Enumeration date
03/04/2008
Last updated
07/10/2024
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