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NPI Code Detail

MEDICARE: DR. ANNE IRELAND-GILL M.D.

MEDICARE:  DR. ANNE  IRELAND-GILL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistG69734CA

General Provider Information

NPI Number : 1689658064
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNE IRELAND-GILL M.D.
Provider Business Mailing Address
First Line : 29420 CRESTHAVEN CT
Second Line :
City : AGOURA HILLS
State : CA
Zip : 91301-4129
Country : US
Telephone Number : 818-889-2226
Fax Number :
Provider Business Practice Location Address
First Line : 1901 HOLSER WALK
Second Line : SUITE #305
City : OXNARD
State : CA
Zip : 93036-2633
Country : US
Telephone Number : 805-485-2824
Fax Number : 805-485-2774
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 07/09/2007

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Directions to “ DR. ANNE IRELAND-GILL M.D.” Practice Location

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