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Individual

JACK DAVID SCHILLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1255 LIBERTY STREET, REDDING, CA 96001-0814
(530) 246-2467
(530) 242-9460
Mailing address
PO BOX 991950, REDDING, CA 96099-1950
(530) 246-2467
(530) 242-9460

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A91728
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0079250
CA
Enumeration date
03/17/2006
Last updated
10/09/2013
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