| Gary P Dillon, MD | |
|
1500 Salem St, Lafayette, IN 47904-2164 | |
| (765) 448-8000 | |
| (765) 448-7029 |
| Full Name | Gary P Dillon |
|---|---|
| Gender | Male |
| Speciality | Dermatology - Dermatopathology |
| Location | 1500 Salem St, Lafayette, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013923119 | NPI | - | NPPES |
| 000000340592 | Other | IN | ANTHEM |
| 100340440 | Medicaid | IN | |
| 000000705135 | Other | IN | ANTHEM PROVIDER PIN / TIN 35-2030653 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0900X | Dermatology - Dermatopathology | 01024462A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary P Dillon, MD Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Gary P Dillon, MD 1500 Salem St, Lafayette, IN 47904-2164 Ph: (765) 448-8000 |
Mark Adrian Lake, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15 Executive Dr, Suite 4, Lafayette, IN 47905 Phone: 765-838-3428 Fax: 765-838-3440 | |
Raymond Kuwahara, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1500 Salem St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8335 | |
Patricia M Dymek, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Lori Siegert Swan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2020 Union St, Suite 300, Lafayette, IN 47904 Phone: 765-446-0282 Fax: 765-446-8299 | |
Tamzin A Rosenwasser, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1500 Salem St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Joseph Edward Fruland, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-446-7029 |