Individual
DR. BARRY FORREST TILLMAN
Active
Individual
DR. BARRY FORREST TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
07480R
LA
207RP1001X
Pulmonary Disease Physician
11444
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115584
—
MS
05
—
1371483
—
LA
Enumeration date
10/07/2005
Last updated
01/11/2017
Update your record
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