NPI 1194917112
Joan M Gillingham, OTC
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
Registered Nurse
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.