Individual
DR. DAVID ROY GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1620 PENNSYLVANNIA AVE, STE C, FAIRFIELD, CA 94533-3509
(707) 428-4878
(707) 428-0806
Mailing address
1620 PENNSYLVANNIA AVE, STE C, FAIRFIELD, CA 94533-3509
(707) 428-4878
(707) 428-0806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G36497
CA
Other
Enumeration date
11/23/2005
Last updated
06/27/2014
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