IndividualActive
Douglas Gillis, DPM
NPI 1689667792 · Podiatrist · Las Cruces, NM
Provider details
- NPI number
- 1689667792
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 196 (NM)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
780 S Walnut St
Suite 3
Las Cruces, NM 88001-1425
Phone: (505) 525-3980
Fax: (505) 526-8529
Approximate (ZIP-level) locationGet directions
Mailing address
780 S Walnut St
Las Cruces, NM 88001-1425
Registry dates
- Enumerated
- 2005-08-24
- Last updated
- 2007-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.