Individual
GARY J. DILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7600 N 15TH ST STE 102, PHOENIX, AZ 85020-4330
(602) 246-7410
(602) 246-7950
Mailing address
7600 N 15TH ST STE 102, PHOENIX, AZ 85020-4330
(602) 246-7410
(602) 246-7950
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
28282
AZ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
28282
AZ
Other
Enumeration date
05/27/2005
Last updated
02/10/2021
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