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Organization
SPG PM2 SERVICES
Active
Organization
SPG PM2 SERVICES
Active
Other names
SPG PM2 Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN PATRICK GALLAGHER PMHNP-BC, FNP-BC (PSYCHIATRIC-MENTAL HEALTH NP/OWNER)
(210) 380-2107
Entity
Organization
Contact information
Practice address
2587 N BEVERLY PL, BUCKEYE, AZ 85396-1793
(210) 380-2107
Mailing address
2587 N BEVERLY PL, BUCKEYE, AZ 85396-1793
(210) 380-2107
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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