Individual
MISS STACIE SUZANNE GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
116 S GEORGE ST, YORK, PA 17401-1474
(717) 801-4866
(833) 973-3583
Mailing address
116 S GEORGE ST, YORK, PA 17401-1474
(717) 801-4866
(833) 973-3583
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC005723
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50043518
CAPITOL BLUE CROSS
—
Enumeration date
07/24/2006
Last updated
11/11/2024
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