Shannon Michelle Gillespie, P.A-C

NPI #1063459683 in Modesto, California

Provider Information

NPI Number: 1063459683
Entity Type: Individual
Name: Shannon Michelle Gillespie, P.A-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A-C
Enumeration Date: Jun 1, 2006
Last Updated: Nov 27, 2007

Practice Location

Address: 1441 FLORIDA AVENUE
City: Modesto
State: California
ZIP Code: 95350
Phone: (209) 576-3609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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