Organization
GERARD P CHAMPALOUX MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD CHAMPALOUX (DOCTOR)
(301) 262-6296
Entity
Organization
Contact information
Practice address
14300 GALLANT FOX LANE, SUITE 110, BOWIE, MD 20715-4031
(301) 262-6797
(301) 262-2564
Mailing address
14300 GALLANT FOX LANE, SUITE 110, BOWIE, MD 20715-4031
(301) 262-6797
(301) 262-2564
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
784741600
—
MD
Enumeration date
08/30/2006
Last updated
08/21/2013
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