Whalio Doctors

NPI 1194917112

Joan M Gillingham, OTC

Practitioner Surgical Technologist Columbia, MO

Practice location

Address
1 S Keene St P.O. Box O, Columbia, MO 65201-7199
Phone
(573) 443-2402
Fax
(573) 443-0574

Registered specialties (2)

Surgical Technologist Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 054002 (MO)

Registry record

NPI
1194917112
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Aug 2007
Record last updated
30 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.