Individual
TERESA GALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 FRANCIS ST, SUITE 200, SAINT JOSEPH, MO 64501-1769
(816) 236-2398
(816) 236-2464
Mailing address
5517 S 3RD ST, SAINT JOSEPH, MO 64504-1613
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
126618
MO
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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