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Individual

HARVEY ALAN GILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1601 NW 114TH ST, STE 342, CLIVE, IA 50325-7036
(515) 222-7600
(515) 222-7643
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 222-7600
(515) 222-7643

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01719
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0159038
IA
Enumeration date
06/21/2005
Last updated
11/01/2012
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