Individual
RYAN GILLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2698 PATTERSON RD STE 100, GRAND JUNCTION, CO 81506-8211
(907) 298-2800
Mailing address
2698 PATTERSON ROAD, GRAND JUNCTION, CO 81506-8211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0063161
CO
208M00000X
Hospitalist Physician
DR.0063161
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2018
Last updated
05/31/2022
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