Individual
FABIAN GILBERT GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
1201 HEALTH CENTER PKWY, YUKON, OK 73099-6381
(888) 611-4429
Mailing address
9813 SW 27TH ST, YUKON, OK 73099-6977
(405) 473-2263
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
106503
OK
363L00000X
Nurse Practitioner
R0106503
OK
Other
Enumeration date
08/23/2020
Last updated
10/11/2021
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