MR. Frederick Dwayne Gilliam, PA-C is a surgical physician assistant in Fresno, CA with 9 years of experience. MR. Frederick Dwayne Gilliam, PA-C NPI is 1871963942. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1646 E HERNDON AVE STE 106
FRESNO, CA
ZIP 93720-380
Phone: (559) 746-9605
Fax: (559) 558-8183
The NPI 1871963942 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/1/2015 and was last updated on 8/2/2021.