Dr. Jack Leroy Gilliland
M.D. | Pediatrics | Male
Dr. Jack Leroy Gilliland, M.D. is a Stockton, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Jack Leroy Gilliland is
7373 West Ln, Stockton, California - 95210-3377. He can be contacted on phone at
209-476-3346.
Dr. Jack Leroy Gilliland is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jack Leroy Gilliland is
1992807077 which was assigned by NPPES on 01 Sep, 2006 and it was last updated on 08 Jul, 2007.
Dr. Jack Leroy Gilliland license number is
G15491 for Pediatrics (208000000X) in California.
Dr. Jack Leroy Gilliland is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Jack Leroy Gilliland basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Jack Leroy Gilliland |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Jack Leroy Gilliland address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 7373 West Ln
Stockton, CA, 95210-3377
United States |
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| Phone Number : | 209-476-3346 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1992807077 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Sep, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jack Leroy Gilliland are as mentioned. Primary taxonomy code for Dr. Jack Leroy Gilliland, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G15491 | CA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 325 W Taddei Rd
Acampo, CA, 95220-9654
United States |
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| Phone Number : | 209-334-1424 |
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Business Location:
Patients can refer following map for directions to
Dr. Jack Leroy Gilliland practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.