Jack Leroy Gilliland in Stockton - Pediatrics

Jack Leroy Gilliland - NPI 1992807077

Jack Leroy Gilliland is a Pediatrics in Stockton, California. Jack Leroy Gilliland practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jack Leroy Gilliland is 1992807077. The last update date is 2007-07-08.

Jack Leroy Gilliland's current location address is 7373 West Ln, Stockton, California. You can contact this provider via phone number 2094763346. The mailing address for Jack Leroy Gilliland is 7373 West Ln, Stockton, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Leroy Gilliland
Address 7373 West Ln, Stockton, California
Phone Number 2094763346
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1992807077
Provider Enumeration Date 2006-09-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7373 West Ln
City Stockton
State California (CA)
Post Code 952103377
Phone Number 2094763346
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No G15491
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Jack Leroy Gilliland

What is the unique identifier code issued to Jack Leroy Gilliland by the Centers for Medicare & Medicaid Services?

The Jack Leroy Gilliland has been assigned the NPI (National Provider Identifier) 1992807077. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Jack Leroy Gilliland?

The Jack Leroy Gilliland is physically situated at 7373 West Ln, in the city of Stockton, state of CA, with the postal code 952103377.

What is Jack Leroy Gilliland's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jack Leroy Gilliland is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did the Jack Leroy Gilliland receive the assignment of its 1992807077 from the Centers for Medicare & Medicaid Services?

The Jack Leroy Gilliland was issued its 1992807077 by the Centers for Medicare & Medicaid Services on 2006-09-01.

When was the information regarding Jack Leroy Gilliland most recently updated?

The details pertaining to the Jack Leroy Gilliland, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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