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Individual

DAUPHINE GILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4400 RENAISSANCE PKWY, SUITE L, CLEVELAND, OH 44128-5763
(216) 464-8484
(216) 464-2444
Mailing address
4400 RENAISSANCE PKWY, SUITE L, CLEVELAND, OH 44128-5763
(216) 464-8484
(216) 464-2444

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35080302
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000229289
UNISON
OH
01
000000546693
ANTHEM
OH
05
2348034
OH
01
7215711
AETNA
OH
01
746604
BUCKEYE
OH
01
P00454336
RAILROAD MEDICARE
OH
Enumeration date
05/11/2006
Last updated
06/20/2008
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