Individual
DR. TIMOTHY J GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7220 S HIGHWAY 16, RAPID CITY, SD 57702-8708
(605) 341-1414
(605) 341-7062
Mailing address
7220 S HIGHWAY 16, PO BOX 6850, RAPID CITY, SD 57702-8708
(605) 341-1414
(605) 341-7062
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2618
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1254560001
CIGNA MEDICARE
SD
05
—
6400260
—
SD
Enumeration date
01/13/2006
Last updated
12/26/2007
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