Healthcare Provider Details

I. General information

NPI: 1811945991
Provider Name (Legal Business Name): DAVID FRANK GILES DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1940 SPRING BLOSSOM CT
SPARKS NV
89434-8096
US

IV. Provider business mailing address

1940 SPRING BLOSSOM CT
SPARKS NV
89434-8096
US

V. Phone/Fax

Practice location:
  • Phone: 775-359-9838
  • Fax: 775-359-9838
Mailing address:
  • Phone: 775-359-9838
  • Fax: 775-359-9838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number9703
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: