Organization
PETER R. GALVAN M.D. A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISON GALVAN M.D. (OFFICE MANAGER)
(985) 641-2266
Entity
Organization
Contact information
Practice address
550 BROWNSWITCH RD, SLIDELL, LA 70458-1104
(985) 641-2266
Mailing address
550 BROWNSWITCH RD, SLIDELL, LA 70458-1104
(985) 641-2266
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20592
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609876580
NPI TYPE 1
LA
05
—
1900231
—
LA
Enumeration date
12/13/2010
Last updated
12/13/2010
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