Provider Demographics
NPI:1437478583
Name:GILLES, HAROLYN C (MD)
Entity Type:Individual
Prefix:
First Name:HAROLYN
Middle Name:C
Last Name:GILLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:14300 N NORTHSIGHT BLVD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3672
Mailing Address - Country:US
Mailing Address - Phone:480-227-1052
Mailing Address - Fax:480-621-8573
Practice Address - Street 1:14300 N NORTHSIGHT BLVD
Practice Address - Street 2:SUITE 114
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3672
Practice Address - Country:US
Practice Address - Phone:480-227-1052
Practice Address - Fax:480-621-8573
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ11732207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine