Individual
JOHN RYAN GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3216 N MAIN ST, ALTUS, OK 73521-1307
(580) 379-9090
(580) 379-9091
Mailing address
3216 N MAIN ST, ALTUS, OK 73521-1307
(580) 379-9090
(580) 379-9091
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
22340
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200089670A
—
OK
Enumeration date
06/08/2006
Last updated
11/13/2009
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