NPI 1386866796

James William Gilliam, MPASPAC

Practitioner Physician Assistant Fpo, AE

Practice location

Address: Usns Mount Baker T-Ae 34 Medical Department, Fpo, AE 09578-4047
Phone: (732) 866-7024
Mailing address: PO Box 792, Rock Hill, NY 12775-0792

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 000227 (NY)

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Registry record

NPI: 1386866796
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2007
Record last updated: 20 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.