Individual
MICAELA GALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6945 TUTT BLVD, COLORADO SPRINGS, CO 80923-3566
(000) 000-0000
Mailing address
6945 TUTT BLVD, COLORADO SPRINGS, CO 80923-3566
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6400
CO
363A00000X
Physician Assistant
7565
AZ
Other
Enumeration date
10/09/2018
Last updated
12/03/2021
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