Individual
ROSS PAUL GILLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 E ROBINSON ST STE 1300, NORMAN, OK 73071-6694
(405) 360-9966
Mailing address
500 E ROBINSON ST STE 1300, NORMAN, OK 73071-6694
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
44165
OK
208800000X
Urology Physician
PENDING
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2019
Last updated
12/05/2024
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