Individual
STEPHEN R GILLILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8813 S 71ST EAST AVE, TULSA, OK 74133-5056
(918) 809-0712
(918) 524-6055
Mailing address
8813 S 71ST EAST AVE, TULSA, OK 74133-5056
(918) 809-0712
(918) 524-6055
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
10961
OK
Other
Enumeration date
04/20/2006
Last updated
12/09/2010
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