Individual
TYLER GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10526 PIERSON CIR, BROOMFIELD, CO 80021-3524
(303) 507-7256
Mailing address
10526 PIERSON CIR, BROOMFIELD, CO 80021-3524
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
2000034028
CO
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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