person
Roger Dean Gillum
Student in an Organized Health Care Education/Training Program in North Little Rock, Arkansas
NPI 1760062616

Roger Dean Gillum is a Student in an Organized Health Care Education/Training Program based in North Little Rock, AR. Roger Dean Gillum practices in North Little Rock, AR. The NPI Number for Roger Dean Gillum is 1760062616 and holds a License No. (Arkansas).

The current practice location address for Roger Dean Gillum is 3201 Springhill Dr Ste 300, North Little Rock, AR and can be reached out via phone at 501-753-4132.

Location: 3201 Springhill Dr Ste 300, North Little Rock, AR, 72117-2910
person
Provider Profile Details
NPI Number
1760062616
Provider Name
Roger Dean Gillum
Credential
Provider Entity Type
Individual
Gender
Male
Address
3201 Springhill Dr Ste 300, North Little Rock, AR, 72117-2910
Phone Number
501-753-4132
Fax Number
Provider Enumeration Date
04/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3201 Springhill Dr Ste 300
City
State
Zip
72117-2909
Phone Number
501-753-4132
Fax Number
person
Provider Business Mailing Address Details
Address
3201 Springhill Dr Ste 300
City
State
Zip
72117-2909
Phone Number
501-753-4132
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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.
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