Individual
JAMES DAVID GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1128 NE 2ND ST STE 101, CORVALLIS, OR 97330-6251
(541) 758-0766
(541) 753-2737
Mailing address
1128 NE 2ND ST STE 101, CORVALLIS, OR 97330-6251
(541) 758-0766
(541) 753-2737
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD12529
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22708-2
—
OR
Enumeration date
08/03/2006
Last updated
07/08/2007
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