Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROGER DEAN GILLUM, MD
Active Sole ProprietorFamily Medicine · NORTH LITTLE ROCK, AR
Registration Details
- NPI Number
- 1760062616
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2021 (5.0397045728766 yrs)
- Last Updated
- Jan 8, 2025
- License
-
E-17057 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2508 CRESTWOOD RDNORTH LITTLE ROCK, AR, 721167623Browse AR providers · Browse ZIP 72116
- Phone
- 5017582294
- Fax
- 5017587877
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in NORTH LITTLE ROCK, AR
| Name | Credential | NPI |
|---|---|---|
| ALAN ROBERT STOREYGARD | MD | 1881690477 |
| JAMES IRLEY CAGLE JR. | MD | 1679570642 |
| DR. IVY V MCGEE | MD | 1750388401 |
| KAREN C BURKS | M.D. | 1821085226 |
| DR. TARA P REYNOLDS | MD | 1588634687 |
| DR. JOHN L. GUSTAVUS | M.D. | 1770559635 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.