Individual
DR. JOHN VINCENT GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 E VAN BUREN ST, PHOENIX, AZ 85006-3742
(602) 261-8913
(602) 534-3608
Mailing address
5948 E CALLE DEL PAISANO, PHOENIX, AZ 85018-4600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
11415
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05796003
—
AZ
Enumeration date
10/11/2006
Last updated
10/18/2007
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