Individual
STANLEY A. GALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 S JACKSON ST, 3RD FLOOR, LOUISVILLE, KY 40202-1622
(502) 561-8850
(502) 561-8851
Mailing address
550 S JACKSON ST FL ST2, DEPT OB/GYN ATT VICKI MASTERSON, LOUISVILLE, KY 40202-1622
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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