Individual
LIAM CONNOR GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
877 111TH AVE N STE 1, NAPLES, FL 34108-1853
(239) 594-8002
(877) 334-1886
Mailing address
3451 PINE RIDGE RD BLDG 601, NAPLES, FL 34109-3922
(239) 449-3072
(877) 334-1886
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9117473
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/28/2022
Last updated
06/13/2023
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