Individual
THOMAS JOSEPH MCGILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5206 BECKFORD ST., VENTURA, CA 93003
(805) 644-4472
Mailing address
5206 BECKFORD ST., VENTURA, CA 93003
(805) 644-4472
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A18947
CA
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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