SCOTT GILLUM, PA
Physician Assistant - Surgical
Active
Individual
NPI: 1114003076
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | Yes | PA200106 (LA) |
Frequently Asked Questions
NPI 1114003076 is the National Provider Identifier for SCOTT GILLUM, PA, a Physician Assistant - Surgical provider located in Shreveport, LA. This NPI was enumerated on October 31, 2006.
SCOTT GILLUM, PA practices at 7925 YOUREE DR, SUITE 200, Shreveport, LA 71105.
Quick Facts
- NPI
- 1114003076
- Type
- Individual
- Enumerated
- Oct 31, 2006
- Last Updated
- Jul 14, 2021
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