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John S. Gilliam, MD
Family Medicine Physician in Mayer, Arizona
NPI 1003877085

John S. Gilliam is a Family Medicine Physician based in Scottsdale, AZ. John S. Gilliam practices in Mayer, AZ and has the professional credentials of MD. The NPI Number for John S. Gilliam is 1003877085 and holds a License No. 16226 (Arizona).

The current practice location address for John S. Gilliam is 20172 E Stagecoach Trl, Mayer, AZ and can be reached out via phone at 800-288-6206 and via fax at 800-960-4547.

Location: 20172 E Stagecoach Trl, Mayer, AZ, 85260-2223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003877085
Provider Name
John S. Gilliam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
20172 E Stagecoach Trl, Mayer, AZ, 85260-2223
Phone Number
800-288-6206
Fax Number
800-960-4547
Provider Enumeration Date
03/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100044450B 05 OK
600874 01 AZ AHCCCS (ARIZONA MEDICAID) ID
Z144938 01 AZ MEDICARE PTAN
100044450A 05 OK
institution
Provider Business Practice Location Address Details
Address
20172 E Stagecoach Trl
City
Mayer
State
Arizona
Zip
86333-2357
Phone Number
800-288-6206
Fax Number
800-960-4547
person
Provider Business Mailing Address Details
Address
20172 E Stagecoach Trl
City
Mayer
State
Arizona
Zip
86333-2357
Phone Number
800-288-6206
Fax Number
800-960-4547
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
41469 (Arizona)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
16226 (Oklahoma)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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