Individual
CALEB GILLHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
916 KOALA DR, OMAK, WA 98841-9759
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
94-09177
KS
207Q00000X
Family Medicine Physician
Primary
MD61014528
WA
Other
Enumeration date
06/06/2017
Last updated
07/20/2020
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