Individual
MR. MARK JAMES GALLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 E LOCUST ST, BLOOMFIELD, IA 52537-1458
(641) 664-3602
Mailing address
PO BOX 54, BLOOMFIELD, IA 52537-0054
(641) 664-3602
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D129762
IA
Other
Enumeration date
06/12/2008
Last updated
07/16/2014
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