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
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 50.007812RX (OH) |
| Surgical Physician Assistant Primary | 363AS0400X | 50.007812RX (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.