Individual
THERESA MARY GILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
US NAVAL HOSPITAL GUAM, BLDG 50, FARENHOLT AVENUE, AGANAHEIGHTS, GUAM, GU 96910
(671) 344-9340
Mailing address
PSC 455 BOX 208, FPO, AP 96540-0003
(671) 682-8996
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101240253
VA
207Y00000X
Otolaryngology Physician
MD-P-2023-002
GU
Other
Enumeration date
04/03/2006
Last updated
09/19/2023
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