Individual
JOHN GILMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1714 MADERA ST, BERKELEY, CA 94707-2514
(916) 616-4788
Mailing address
1714 MADERA ST, BERKELEY, CA 94707-2514
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
AFE23345
CA
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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