Individual
EDWARD ALLEN GILL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0032995
CO
207RC0000X
Cardiovascular Disease Physician
MD00023063
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231085
L&I
WA
05
—
1518046275
—
WA
01
—
6423
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
11/03/2006
Last updated
04/21/2016
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