Individual
WESLEY GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
4672 GENOA ST, DENVER, CO 80249-6688
(303) 653-1663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA.0005037
CO
Other
Enumeration date
06/15/2017
Last updated
10/02/2019
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