Individual
JOSHUA DANIEL GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(210) 367-3312
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(580) 491-2782
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
PA18154
TX
Other
Enumeration date
11/02/2018
Last updated
07/26/2024
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