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Individual
MARK JOSEPH GALLOWAY
Active
Individual
MARK JOSEPH GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100036000
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137313
LABOR AND INDUSTRIES
WA
05
—
7089519
—
WA
Enumeration date
07/14/2005
Last updated
09/26/2013
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