Individual
DR. JAMES W SILLAMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
555 ROUTE 217, SUITE 5, LATROBE, PA 15650-3484
(724) 694-0272
(724) 694-0383
Mailing address
555 ROUTE 217, SUITE 5, LATROBE, PA 15650-3484
(724) 694-0272
(724) 694-0383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0003007L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006624540004
—
PA
Enumeration date
07/20/2005
Last updated
01/23/2008
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