Individual
DR. JAMES WILLARD GALLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
575 S 70TH ST, SUITE 200 NEBRASKA ORTHOPAEDIC AND SPORTS MEDICINE, LINCOLN, NE 68510-2471
(402) 488-3322
(402) 488-1172
Mailing address
575 S 70TH ST, SUITE 200 NEBRASKA ORTHOPAEDIC AND SPORTS MEDICINE P.C, LINCOLN, NE 68510-2471
(402) 488-3322
(402) 488-1172
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
22613
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285683870
—
IA
05
—
47070309913
—
NE
Enumeration date
05/09/2006
Last updated
10/05/2011
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