Individual
DR. DOUGLAS M. GILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1190 S BASCOM AVE STE 222, SAN JOSE, CA 95128-3547
(408) 294-3500
(408) 294-3444
Mailing address
1190 S BASCOM AVE STE 222, SAN JOSE, CA 95128-3547
(408) 294-3500
(408) 294-3444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
18417
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ01787Z
—
CA
Enumeration date
08/01/2007
Last updated
08/01/2007
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