Individual
MARIAM GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2055 KIMBALL AVE, WATERLOO, IA 50702-5014
(818) 624-4536
Mailing address
2055 KIMBALL AVE STE 201, WATERLOO, IA 50702-5047
(818) 624-4536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0097R
OK
207Q00000X
Family Medicine Physician
5940
OK
207Q00000X
Family Medicine Physician
Primary
DO-05933
IA
207Q00000X
Family Medicine Physician
S6840
TX
Other
Enumeration date
07/09/2015
Last updated
06/19/2025
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