Organization
BRIAN J GILLIS DO PA
Active
Organization
BRIAN J GILLIS DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J GILLIS DO (OWNER/PROVIDER)
(207) 465-3003
Entity
Organization
Contact information
Practice address
8 WATER ST, SUITE 2, OAKLAND, ME 04963-4956
(207) 465-3003
(207) 465-7352
Mailing address
8 WATER ST, SUITE 2, OAKLAND, ME 04963-4956
(207) 465-3003
(207) 465-7352
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
1513
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
GEISINGER NPI ONLY
—
Enumeration date
10/30/2014
Last updated
10/30/2014
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