Organization
MICHAEL D. GILL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DENNIS GILL MD (MD, OWNER)
(805) 735-7621
Entity
Organization
Contact information
Practice address
1025 E. OCEAN AVE, STE. A, LOMPOC, CA 93436-7088
(805) 735-7621
(805) 736-5378
Mailing address
1025 E. OCEAN AVE,, STE A, LOMPOC, CA 93436-7088
(805) 735-7621
(805) 736-5378
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G54515
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G54515
LICENSE#
CA
Enumeration date
03/16/2010
Last updated
03/16/2010
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