Individual
STEPHANIE GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 MARTIN AVE, EPHRATA, PA 17522-1724
(717) 738-6355
Mailing address
169 MARTIN AVE, EPHRATA, PA 17522-1724
(717) 738-6355
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OSOO8035L
PA
207P00000X
Emergency Medicine Physician
RIFI7
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01933542
—
PA
Enumeration date
07/19/2006
Last updated
07/08/2007
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