Individual
THOMAS A. GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(270) 825-7200
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
16909
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044264
BCBS PIN
—
01
—
16909
LICENSE
KY
05
—
64169097
—
KY
Enumeration date
09/16/2006
Last updated
12/04/2020
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