Individual
DR. JACK LONDON GILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7707 AUSTIN RD, STOCKTON, CA 95215-8312
(209) 467-1483
Mailing address
7707 AUSTIN RD, STOCKTON, CA 95215-8312
(209) 467-1483
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A123202
CA
Other
Enumeration date
04/23/2009
Last updated
04/10/2015
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