Individual
ELIZABETH ASHLEY GALLAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1323 W 6TH AVE, STILLWATER, OK 74074-4399
(405) 372-1480
Mailing address
403 E NOBLE RD, STILLWATER, OK 74075-1952
(405) 614-3120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
212142
OK
363L00000X
Nurse Practitioner
Primary
212142
OK
363L00000X
Nurse Practitioner
R0113948
OK
Other
Enumeration date
04/03/2023
Last updated
01/27/2025
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