Individual
JEFFREY GILLES
Active
Individual
JEFFREY GILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
40260
CO
207X00000X
Orthopaedic Surgery Physician
Primary
MD.MD.60390364
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
249722504
PERSONAL PTAN
OK
01
—
41713
STATE LICENSE
MT
Enumeration date
01/04/2007
Last updated
07/17/2026
Update your record
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