Individual
DR. JEREMY MARK GILILLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7100
Mailing address
PO BOX 413067, SALT LAKE CITY, UT 84141-3067
(801) 213-3900
(801) 585-3655
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
7151934-1205
UT
Other
Enumeration date
11/20/2008
Last updated
11/01/2021
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