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Individual

DR. VICTORIA A GILLIS

Active
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Individual

DR. VICTORIA A GILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD019650E
PA
207R00000X
Internal Medicine Physician
MD019650E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000068620
BLUE SHIELD
PA
05
0005442360004
PA
01
101608
UPMC
PA
Enumeration date
10/27/2005
Last updated
07/07/2008
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