Individual
DAVID L GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10301 KANIS RD, LITTLE ROCK, AR 72205-6205
(501) 604-6900
(501) 604-6944
Mailing address
10301 KANIS RD, LITTLE ROCK, AR 72205-6205
(501) 604-6900
(501) 604-6944
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C6827
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112410001
—
AR
Enumeration date
08/17/2005
Last updated
03/09/2010
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