MR. PHILLIP GILLIAM, PA
Physician Assistant - Medical
Active
Individual
NPI: 1841372273
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | 2005017775 (MO) |
| Physician Assistant - Medical | 363AM0700X | Yes | 2005017775 (MO) |
Frequently Asked Questions
NPI 1841372273 is the National Provider Identifier for MR. PHILLIP GILLIAM, PA, a Physician Assistant - Medical provider located in Independence, MO. This NPI was enumerated on October 19, 2006.
MR. PHILLIP GILLIAM, PA practices at 1509 W TRUMAN RD, Independence, MO 64050.
Quick Facts
- NPI
- 1841372273
- Type
- Individual
- Enumerated
- Oct 19, 2006
- Last Updated
- Jul 8, 2019
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