Individual
EDWARD LARRY GILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
880 W MAIN ST, BOONEVILLE, AR 72927-3443
(479) 675-2800
(479) 452-0275
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(479) 675-2800
(314) 364-6321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E1830
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100166610C
—
OK
05
—
135306001
—
AR
Enumeration date
07/31/2006
Last updated
04/29/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us