Individual
IAN GILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5600 S QUEBEC ST STE 312A, GREENWOOD VILLAGE, CO 80111-2208
(303) 436-2727
Mailing address
5600 S QUEBEC ST STE 312A, GREENWOOD VILLAGE, CO 80111-2208
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004393
CO
Other
Enumeration date
07/22/2015
Last updated
09/10/2015
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