Individual
DR. ADA MARGARET GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2955 S BROADWAY, ENGLEWOOD, CO 80113-1526
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
054360
CO
207Q00000X
Family Medicine Physician
D0074238
MD
207Q00000X
Family Medicine Physician
MT195073
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025207
KAISER COMMERCIAL NUMBER
CO
05
—
71786317
—
CO
Enumeration date
05/12/2009
Last updated
06/11/2021
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