Individual
BARRY LEE GILLIAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 NEWPORT AVE, OKLAHOMA CITY, OK 73112-6334
(405) 943-2273
(405) 947-8262
Mailing address
4100 NEWPORT AVE, OKLAHOMA CITY, OK 73112
(405) 943-2273
(405) 947-8262
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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