Organization
HEALTHPOINTE MEDICAL CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY M GALLON DO (DESIGNATED OFFICIAL)
(314) 495-6037
Entity
Organization
Contact information
Practice address
530 FULLERTON RD STE B, SWANSEA, IL 62226-2970
(618) 233-3324
(618) 233-4758
Mailing address
530 FULLERTON RD STE B, SWANSEA, IL 62226-2970
(618) 233-3324
(618) 233-4758
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033699467
TYPE 2 NPI
IL
Enumeration date
08/15/2018
Last updated
07/29/2019
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