Individual
JIMMY GARALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
101 E 87TH AVE FL A3, MERRILLVILLE, IN 46410-7335
(219) 738-6670
Mailing address
101 E 87TH AVE FL A3, MERRILLVILLE, IN 46410-7335
(219) 738-6670
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
09/05/2019
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