Individual
DR. JOHN F GILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2702 S 42ND ST STE 310, TACOMA, WA 98409-7324
(253) 472-7844
(253) 472-8474
Mailing address
2702 S 42ND ST STE 310, TACOMA, WA 98409-7324
(253) 472-7844
(253) 472-8474
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
9300475
NC
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MO60265170
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10019472
SENTARA/OPTIMA DAY REHAB
VA
01
—
10019473
SENTARA/OPTIMA PHY MED
VA
05
—
1972669679
—
VA
01
—
2167789
UHC/MAMSI
VA
01
—
303273
ANTHEM
VA
01
—
35522
NC BC/BS
NC
05
—
8935522
—
NC
Enumeration date
12/28/2006
Last updated
11/27/2012
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