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Individual

MR. MICHAEL GILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
175 S UNION BLVD STE 125, COLORADO SPRINGS, CO 80910-3117
(719) 365-1950
(719) 365-1951
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(719) 365-1950
(719) 365-1951

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
58256
CA
363A00000X
Physician Assistant
Primary
PA.0007814
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000217627
CO
Enumeration date
11/13/2019
Last updated
07/22/2025
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