Individual
LESLEY JANE MCGALLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
602 E NOB HILL BLVD, YAKIMA, WA 98901-3534
(509) 248-3334
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-6175
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
WA17678
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0229570
LABOR & INDUSTRIES
WA
05
—
1348200
—
WA
Enumeration date
10/20/2006
Last updated
12/20/2012
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