Individual
DR. LESLIE A. GILLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
575 LENNON LN STE 152, WALNUT CREEK, CA 94598-2443
(925) 602-7060
(925) 602-7070
Mailing address
575 LENNON LN STE 152, WALNUT CREEK, CA 94598-2443
(925) 602-7060
(925) 602-7070
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A83111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A831110
—
CA
Enumeration date
06/23/2006
Last updated
07/13/2021
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