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Individual

JAMES H GALLAFENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
520 S. EAGLE ROAD, SUITE #3102, MERIDIAN, ID 83642
(208) 706-5100
(208) 706-5169
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 706-5100
(208) 706-5169

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-10950
ID
207R00000X
Internal Medicine Physician
MD60095563
WA

Other

Enumeration date
08/30/2006
Last updated
01/23/2014
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