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Search › Washington › 363A00000X

John Gillum, PA

NPI 1699752451 · on the registry since 2005

Practice

Address
Madigan Army Medical Ctr
9040 A Reid St
Tacoma, WA 98431
Phone
(253) 968-1110
Organisation at this address
Us Army
Dfas Attn:Dfasin/Jambf
Madigan Army Medical Center
Madigan Army Medical Center
Madigan Army Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
177

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
2085R0202X
363A00000X
Licence states on file
CO, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-06-04

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 Washington