Individual
ASHLEY JUSTIN GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3755
(504) 842-2036
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3755
(504) 842-2036
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP06919
LA
367500000X
Certified Registered Nurse Anesthetist
RN099464
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08221223
—
MS
05
—
2304461
—
LA
Enumeration date
07/11/2012
Last updated
01/25/2013
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