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

ROBERT TODD GILLESPIE, P.A.

Active

ROBERT TODD GILLESPIE, P.A. is a Physician Assistant healthcare provider located in MALAD CITY, Idaho. NPI 1922026467 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MALAD CITY, ID

Registration Details

NPI Number
1922026467
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2006 (20.068047993622 yrs)
Last Updated
Jun 10, 2011
License
PA205 (ID)

Practice Information

Address
220 BANNOCK ST
SUITE B
MALAD CITY, ID, 832521256
Browse ID providers · Browse ZIP 83252
Phone
2087662600
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in MALAD CITY, ID

Name Credential NPI
RICK C. CLARK JR. PA 1033190533
MEL BINGHAM PA-C 1134257876
ARIEL SHANTAY AVIS TAYSOM PA-C 1609341098
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.