Individual
IAN TREVOR GAILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1609 W 40TH AVE STE 401, PINE BLUFF, AR 71603-6365
(870) 541-7201
(870) 541-7202
Mailing address
PO BOX 2650, PINE BLUFF, AR 71613-2650
(870) 541-7211
(870) 541-4297
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
49633
TN
207RG0100X
Gastroenterology Physician
Primary
E17339
AR
Other
Enumeration date
05/14/2007
Last updated
02/06/2024
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