Individual
JAMES LOUIS GILLILLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1131 N YORK CIR, MESA, AZ 85213-5328
(480) 964-4190
Mailing address
1131 N YORK CIR, MESA, AZ 85213-5328
(480) 964-4190
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
01610
IA
207KA0200X
Allergy Physician
Primary
005365
AZ
Other
Enumeration date
03/28/2006
Last updated
06/03/2011
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