Individual
ROBERT C GILLIS
Active
Individual
ROBERT C GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD447966
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
D0073544
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2984299
HIGHMARK BLUE SHIELD
PA
01
—
420531
UPMC
PA
Enumeration date
07/19/2007
Last updated
06/30/2016
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