Doctor Name: | MARSHA GILL |
NPI Number: | 1538540414 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDH, OMT |
License Number: | 554 |
Business Practice Address: | 14050 N 83rd Ave Suite 290 Peoria, AZ - 853815638 |
Business Phone Number: | 6027966070 |
Business Fax Number: | 8887969570 |
Mailing Address: | 8447 W Desert Elm Ln, PEORIA |
State: | AZ |
Postal Code: | 853833645 |
Phone Number: | 6027966070 |
Fax Number: | 8887969570 |
NPI Enumeration Date: | 06/16/2015 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 554 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |