Provider Demographics
NPI:1770631327
Name:GILMAN FAMILY PRACTICE, PS
Entity Type:Organization
Organization Name:GILMAN FAMILY PRACTICE, PS
Other - Org Name:GILMAN, CURALLI & GILMAN, DO. PS.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRYCE
Authorized Official - Middle Name:HUNTER
Authorized Official - Last Name:GILMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:509-924-4681
Mailing Address - Street 1:1414 N VERCLER RD STE 4
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-1092
Mailing Address - Country:US
Mailing Address - Phone:509-924-4681
Mailing Address - Fax:509-922-7634
Practice Address - Street 1:1414 N VERCLER RD STE 4
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1092
Practice Address - Country:US
Practice Address - Phone:509-924-4681
Practice Address - Fax:509-922-7634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7049372Medicaid
000351500Medicare ID - Type Unspecified