Individual
MR. CRAIG DAVID GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
800 PRICE CANYON RD, PISMO BEACH, CA 93449-2722
(805) 545-4441
Mailing address
5080 SPECTRUM DR, SUITE 1200 WEST, ADDISON, TX 75001-4648
(800) 232-3550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11403
CA
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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