Michael Philip Gilliam, CPNP

NPI 1487587481 · on the registry since 2026 · sole proprietor

Practice

Address: 9850 W St Lukes Dr
Nampa, ID 83687
Phone: (208) 205-7820
Fax: (208) 205-7822
Organisation at this address: St Lukes West Ltd
St Lukes West Ltd
Saltzer Medical Group, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 130

Registry record

Primary taxonomy: 363LP0200X
363LP0200X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-10-06

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 Idaho