# MARTY GILES, MD, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295100816
- **Authorized official:** DR. MARTY GILES MD (PHYSICIAN OWNER)
- **Authorized official phone:** (520) 547-2311

## Contact information

- **Practice address:** 7395 E TANQUE VERDE RD, SUITE 175, TUCSON, AZ 85715-3475
- **Practice address phone:** (520) 547-2311
- **Mailing address:** 7395 E TANQUE VERDE RD, SUITE 175, TUCSON, AZ 85715-3475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 23554 | AZ | Yes |

## Other

- **Enumeration date:** 12/08/2015
- **Last updated:** 12/08/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | Z29041 | — | AZ |