Individual
DR. TERRY ALLEN GILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACS PC
Contact information
Practice address
1193 E HERNDON AVE, SUITE 106, FRESNO, CA 93720-3156
(559) 448-8980
(559) 256-5105
Mailing address
PO BOX 26687, FRESNO, CA 93729-6687
(559) 448-8980
(559) 256-5105
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A29523
CA
Other
Enumeration date
11/01/2006
Last updated
04/30/2014
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