Individual
DR. DYLAN CHANTZ GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9850 W ST LUKES DR # 229, NAMPA, ID 83687-7912
(208) 205-7700
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
6971443
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2021
Last updated
07/29/2025
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