Basic Information
| Provider Information | |||||||||
| NPI: | 1780651737 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GILLES | ||||||||
| FirstName: | PIERRE | ||||||||
| MiddleName: | CLAUDE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5880 S HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | GLOBE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 855019447 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9284021131 | ||||||||
| FaxNumber: | 9284257903 | ||||||||
| Practice Location | |||||||||
| Address1: | 4524 N MARYVALE PKWY | ||||||||
| Address2: | SUITE 220 | ||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850311730 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6235354582 | ||||||||
| FaxNumber: | 6238484399 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/08/2006 | ||||||||
| LastUpdateDate: | 10/22/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 11263 | AZ | Y | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 036058048 | IL | N | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.