DIRCK ANTHONY GILLAM NPI 1730477449

NPI Information

Dirck Anthony Gillam is a student in an organized health care education training program in New Orleans, LA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Dirck Anthony Gillam NPI is 1730477449. 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:

145 ELK PL
NEW ORLEANS, LA
ZIP 70112-645
Phone: (504) 525-0918

The enumeration date for this NPI number is 7/14/2011 and was last updated on 7/15/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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