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Individual

STANLEY A. GALL

Active
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Individual

STANLEY A. GALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
26914
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000045428
ANTHEM PSC
KY
01
—
000000047614
ANTHEM - FOUNDATION
KY
05
—
100365150A
—
IN
01
—
1049237
PASSPORT PCP - FOUNDATION
KY
01
—
1049275
PASSPORT SPECIALITY - PSC
KY
01
—
1050108
PASSPORT SPECIALITY - FOUNDATION
KY
05
—
64269145
—
KY
Enumeration date
07/25/2006
Last updated
11/25/2008
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