Individual provider · Type 1 NPI

Michael Paul Gillispie, PA-C

Surgical Physician Assistant · Portsmouth, OH

NPI number 1710696976 Active

Practice location

1805 27th St
Portsmouth, OH 45662-2686

Fax (740) 353-1214

Mailing address

1735 27th St Ste B06
Portsmouth, OH 45662-2681

Other practice locations

  • 1248 Kinneys Ln, Portsmouth, OH 45662-2994 · (740) 356-7290

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X50.007812RX (OH)
Surgical Physician Assistant Primary 363AS0400X50.007812RX (OH)

Surgical Physician Assistant: Definition to come...

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About NPI 1710696976

Michael Paul Gillispie, PA-C's National Provider Identifier is 1710696976, issued on Nov 16, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portsmouth, OH. The record was last updated on Jun 16, 2023.