Individual
MR. THOMAS WILLIAM GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 DAWN LN, WAVERLY, OH 45690-9138
(740) 947-2186
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35040895
OH
207P00000X
Emergency Medicine Physician
Primary
35-040895
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0368598
—
OH
Enumeration date
05/17/2006
Last updated
03/20/2014
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