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Individual

JEFFREY PAUL LILES

Active
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Individual

JEFFREY PAUL LILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

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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