DUANE A GILLAM
Organization (NPI-2)
Active
Optometrist
Provider Information
- NPI Number
1902045446- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 638 S EARL AVE, LAFAYETTE, IN, 479043264
- Phone
- (765) 448-2711
- Fax
- (765) 448-2995
Specialties & Taxonomies
Optometrist
Primary License: IN #18001683B