Individual
DR. DIANE E. GILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1313 S ST, BRIDGEPORT, NE 69336-2563
(308) 262-1616
(308) 262-0843
Mailing address
1313 S ST, BRIDGEPORT, NE 69336-2563
(308) 262-1616
(308) 262-0843
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18133
NE
Other
Enumeration date
08/29/2006
Last updated
10/08/2013
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