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Organization
WILLIAM R. GALLIVAN, JR., M.D., INC.
Active
Organization
WILLIAM R. GALLIVAN, JR., M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R GALLIVAN JR. (PRESIDENT)
(805) 220-6020
Entity
Organization
Contact information
Practice address
320 W JUNIPERO ST, SANTA BARBARA, CA 93105-4305
(805) 220-6020
(805) 284-0085
Mailing address
320 W JUNIPERO ST, SANTA BARBARA, CA 93105-4305
(805) 220-6020
(805) 284-0085
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
CA
Other
Enumeration date
10/31/2014
Last updated
10/08/2015
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