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Individual

ERIN A. GILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
4212 N. 16TH STREET, PHOENIX INDIAN MEDICAL CENTER, PHOENIX, AZ 85016
(602) 263-1511
(602) 263-1619
Mailing address
P.O. BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1511
(602) 263-1619

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1519
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113351
AZ
05
15924327
CO
05
17230713
NM
01
AZ 0444700
BCBS
AZ
Enumeration date
10/16/2006
Last updated
05/22/2008
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