Individual
DR. JEAN A GILSTRAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
(573) 596-0522
(573) 302-4413
Mailing address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
(573) 596-0522
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
07251
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207959818
—
MO
Enumeration date
06/03/2006
Last updated
06/15/2012
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