Individual
GLEE FRANCES GILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 353-9403
(970) 353-9906
Mailing address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 353-9403
(970) 353-9906
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0633
SD
363A00000X
Physician Assistant
Primary
814
CO
363A00000X
Physician Assistant
PA10004485
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199380
WA L & I
—
05
—
33273286
—
CO
01
—
6059GL
REGENCE BS
—
01
—
814
COLORADO LICENSE
CO
05
—
8355539
—
WA
01
—
8906873
WA CRIME VICTIMS
—
Enumeration date
06/03/2006
Last updated
10/12/2010
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