DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DALE GILLAN JR., MD

Active

DR. DALE GILLAN JR., MD is a General Surgery healthcare provider located in WALSENBURG, Colorado. NPI 1578543617 is currently active in the NPPES registry. Verify at CMS.

General Surgery · WALSENBURG, CO

Registration Details

NPI Number
1578543617
Provider Type
Individual
Gender
Male
NPI Issued
Jan 17, 2006 (20.429052138874 yrs)
Last Updated
Jan 3, 2014
Licenses
33569 (AZ)
MD2012-0389 (NM)
53050 (CO)

Practice Information

Address
23450 US HIGHWAY 160
WALSENBURG, CO, 810899104
Browse CO providers · Browse ZIP 81089
Phone
7197384588
Fax
7197384534
Primary Specialty
General Surgery
208600000X
Additional Specialty
General Surgery
Additional Specialty
General Surgery

Other General Surgery Providers in WALSENBURG, CO

Name Credential NPI
SANDEEP SURESH VIJAN MD 1730220278
DR. HEATHER IRENE COOK D.O. 1255547691
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.