Gilmore, G Thomas

Gilmore, G Thomas is an individual health care provider with primary practice located at 842 E Main St , Medford OR 97504-7134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gilmore, G Thomas can be contacted via phone (541) 773-2493.

Contact Information

Primary practice address
842 E Main St Medford OR 97504-7134
Phone: (541) 773-2493
Fax: (541) 779-3027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD09622 Oregon

Profile Details

NPI number 1639131709
LBN Legal business name Gilmore, G Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639131709 NPPES
Oregon MEDICAID 073288

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