Individual
DR. DAVID B. GALLUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 W MAIN ST, SUITE 100, SPRINGFIELD, OH 45502-1312
(937) 398-1066
(937) 398-1076
Mailing address
140 W MAIN ST, SUITE 100, SPRINGFIELD, OH 45502-1312
(937) 398-1066
(937) 398-1076
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35086227
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11617155
CAQH
—
05
—
2664175
—
OH
01
—
2690216
UNITED HEALTHCARE
OH
01
—
7810839
AETNA
—
Enumeration date
06/14/2006
Last updated
04/16/2015
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