Provider Demographics
NPI:1811945991
Name:GILES, DAVID FRANK (DPM)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:FRANK
Last Name:GILES
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 SPRING BLOSSOM CT
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-8096
Mailing Address - Country:US
Mailing Address - Phone:775-359-9838
Mailing Address - Fax:775-359-9838
Practice Address - Street 1:1940 SPRING BLOSSOM CT
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-8096
Practice Address - Country:US
Practice Address - Phone:775-359-9838
Practice Address - Fax:775-359-9838
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9703213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2116011Medicaid
NV34470Medicare ID - Type Unspecified
NVU68678Medicare UPIN