Most Relevant Information
Provider Data
| NPI Number: | 1003201930 |
| Provider Name: | GREGORY SCOTT GILMORE |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN392430 |
Most Important Dates
| Enumeration Date: | 03/28/2015 |
| Last Updated: | 03/28/2015 |
Provider Practice Location
23980 BLACKBURN RD
OAKWOOD VILLAGE
OH
441465751
Practice Location Phone/Fax
| Phone: | 4403997109 |
| Fax: |
Provider Mailing Location
23980 BLACKBURN RD
OAKWOOD VILLAGE
OH
441465751
Provider Mailing Phone/Fax
| Phone: | 4403997109 |
| Fax: |