Individual
WILLIAM H GALLMANN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1453 E BERT KOUNS INDUSTRIAL LOOP, RADIOLOGY, SHREVEPORT, LA 71105-6800
(318) 681-4347
Mailing address
PO BOX 9600, DEPT 09-038, TEXARKANA, TX 75505-9600
(877) 498-1450
(918) 664-6120
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD15783
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1308161
—
LA
Enumeration date
07/26/2006
Last updated
02/02/2014
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