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Individual

MARC T GALLOWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7423 S MASON MONTGOMERY RD, SUITE A, MASON, OH 45040-7828
(513) 347-9999
(513) 573-9178
Mailing address
5246 SOCIALVILLE FOSTER RD, SUITE A, MASON, OH 45040-9302
(513) 347-9999
(513) 573-9178

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
26627
KY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
58519
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2185013
OH
05
64040116
KY
Enumeration date
06/15/2005
Last updated
12/16/2019
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