Randal Keith Gilman in Upland - Physician Assistant

Randal Keith Gilman - NPI 1003863432

Randal Keith Gilman is a Physician Assistant in Upland, California. Randal Keith Gilman practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Randal Keith Gilman is 1003863432. The last update date is 2015-06-04.

Randal Keith Gilman's current location address is 1288 Kendra Ln, Upland, California. You can contact this provider via phone number 9099313411. The mailing address for Randal Keith Gilman is 1288 Kendra Ln, Upland, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Randal Keith Gilman
Address 1288 Kendra Ln, Upland, California
Phone Number 9099313411
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1003863432
Provider Enumeration Date 2006-05-30
Last Updated Date 2015-06-04

Provider Mailing Address Detail

Address 1288 Kendra Ln
City Upland
State California (CA)
Post Code 917849269
Phone Number 9099313411
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA14703
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PA14703 CA --
GR0058270 CA --
GR0058271 CA --

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FAQs about Randal Keith Gilman

What is the Randal Keith Gilman's 1003863432?

The Randal Keith Gilman's NPI (National Provider Identifier) Number is 1003863432. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Randal Keith Gilman's facilities are geographically located?

The facilities of Randal Keith Gilman are physically situated at the following location: 1288 Kendra Ln, Upland, CA, 917849269.

What is Randal Keith Gilman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Randal Keith Gilman is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

When did Randal Keith Gilman receive its 1003863432 assignment?

The Randal Keith Gilman was assigned its 1003863432 on 2006-05-30, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Randal Keith Gilman last refreshed?

The information related to the Randal Keith Gilman, including its address, specialty, and other relevant details, was last updated on 2015-06-04.

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