Individual
RAYMOND C GALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1651 GALISTEO ST STE 8, SANTA FE, NM 87505-4752
(505) 820-9870
(505) 983-1265
Mailing address
1651 GALISTEO ST STE 8, SANTA FE, NM 87505-4752
(505) 820-9870
(505) 983-1265
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
84PA004
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84-PA004
PHYSICIANS ASSISTANT CERTIFICATE
NM
05
—
E0665
—
NM
Enumeration date
10/12/2005
Last updated
04/07/2022
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