Individual
GREGG A. GILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2025 MORSE AVE, SACRAMENTO, CA 95825-2115
(916) 973-5000
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3429
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E35470
—
CA
Enumeration date
11/01/2006
Last updated
07/08/2007
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