Individual
DR. MICHAEL GARY SILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18404 N. TATUM BLVD, SUITE 103, PHOENIX, AZ 85032
(602) 485-7491
(623) 780-3752
Mailing address
2500 W UTOPIA RD, STE. 100, PHOENIX, AZ 85027-4171
(602) 214-6148
(602) 214-6149
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27492
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3749
UPI
CO
Enumeration date
10/21/2005
Last updated
09/24/2013
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