Individual
JOSEPH EMMANUEL GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP, FNP-C
Contact information
Practice address
4494 W PEORIA AVE STE 115A ROOM 18, STE 115A ROOM 18, GLENDALE, AZ 85302
(623) 329-8735
(623) 321-7259
Mailing address
4494 W PEORIA AVE STE 115A ROOM 18, STE 115A ROOM 18, GLENDALE, AZ 85302
(623) 329-8735
(623) 321-7259
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN196045
AZ
207R00000X
Internal Medicine Physician
276425
AZ
363L00000X
Nurse Practitioner
Primary
276425
AZ
Other
Enumeration date
10/04/2021
Last updated
11/27/2022
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