Individual
DR. GERALD JOHNSTONE PALAGALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6000
Mailing address
11475 OLDE CABIN RD STE 200, SAINT LOUIS, MO 63141-7129
(314) 991-8200
(314) 991-8206
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
2015011043
MO
2085R0202X
Diagnostic Radiology Physician
036144830
IL
2085R0202X
Diagnostic Radiology Physician
Primary
2015011043
MO
Other
Enumeration date
06/24/2010
Last updated
07/13/2020
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