Individual
MADELINE GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1438 E VERONA CREEK WAY, OGDEN, UT 84405-6757
(801) 644-5061
Mailing address
1438 E VERONA CREEK WAY, OGDEN, UT 84405-6757
(801) 644-5061
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14241765-1206
UT
Other
Enumeration date
03/07/2023
Last updated
03/09/2026
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