Keith R Gabriel, M.D.
Orthopaedic Surgery, Pediatric Orthopaedic Surgery in Springfield, IL. Individual provider (NPI-1).
NPI number1346236304
StatusActive
Last updated in NPPESJul 31, 2013
Details
- NPI
- 1346236304
- Entity type
- Individual (NPI-1)
- Name
- Keith R Gabriel
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2005
- Last updated
- Jul 31, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XP3100X | Orthopaedic Surgery, Pediatric Orthopaedic Surgery | 036-078399 | IL | Yes |
| 207X00000X | Orthopaedic Surgery | 036078399 | IL |
Practice location
800 E Carpenter StSpringfield, IL 62769-1041
Phone 217-757-6535 · Fax 217-757-6536
Mailing address
Po Box 19639Springfield, IL 62794-9639
Phone 217-545-7578 · Fax 217-545-1884
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