SearchOklahoma101Y00000X

Anthony Gilliam

NPI 1437573672 · on the registry since 2014 · sole proprietor

Practice

Address
2424 N Key Blvd
Midwest City, OK 73110
Phone
(405) 413-1555
Clinicians at this address
2

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
104100000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-02-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma