Individual
JEFFREY PAUL LILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33300 N 32ND AVE STE 320, PHOENIX, AZ 85085-8826
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
125072256
IL
207X00000X
Orthopaedic Surgery Physician
Primary
73224
AZ
207X00000X
Orthopaedic Surgery Physician
RTL23-1217
NC
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
73224
AZ
Other
Enumeration date
03/20/2018
Last updated
08/01/2024
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