Individual
DR. BRIAN MATTHEW GILLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. M.S.
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1563
(415) 221-4810
Mailing address
1663 19TH AVE, SAN FRANCISCO, CA 94122-4517
(415) 516-9240
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
119145
CA
Other
Enumeration date
08/24/2011
Last updated
12/21/2021
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