Individual
DR. SCOTT A GALLIGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2212 W KEARNEY ST, SPRINGFIELD, MO 65803-2029
(417) 831-8074
(417) 864-6585
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2005007767
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201134
MO BLUE SHIELD
MO
05
—
207300401
—
MO
01
—
83611
ARK BLUE SHIELD
AR
Enumeration date
02/06/2007
Last updated
05/10/2013
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