Individual
DR. PHILIP KINGSNORTH GILMAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 VIA VENITO, WATSONVILLE, CA 95076-0318
(831) 722-3953
Mailing address
170 VIA VENITO, WATSONVILLE, CA 95076-0318
(831) 722-3953
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G17195
CA
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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