Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 19516 | AZ |
NPI | 1477635381 |
---|---|
Provider Name | Dr. Christopher Peter Gilles |
First Address | Tucson, AZ 85745 |
Second Address | Tucson, AZ 85745 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 12/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
297996 | (05) | AZ |
F09738 | (02) |