DR. Stacey B Gillis, D.C.

NPI #1497780225 in Costa Mesa, California

Provider Information

NPI Number
1497780225
Entity Type
Individual
Name
DR. Stacey B Gillis, D.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Chiropractor
Credential
D.C.
Enumeration Date
Jul 11, 2006
Last Updated
Aug 11, 2008

Practice Location

Address
2200 HARBOR BLVD STE B160
ZIP Code
92627-5871
Phone
(949) 515-5170

Specialties & Taxonomy Codes

Specialty
Chiropractor

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