JACK LEROY GILLILAND

STOCKTON, CA
NPI1992807077
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CA  G15491)
Enumeration Date2006-09-01
Last Update Date2007-07-08
Business Address
Dr. JACK LEROY GILLILAND M.D.
7373 WEST LN
STOCKTON, CA 95210-3377
Phone number: 209-476-3346
Mailing Address
Dr. JACK LEROY GILLILAND M.D.
325 W TADDEI RD
ACAMPO, CA 95220-9654
Phone number: 209-334-1424