Individual
SUSAN J. GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
620 S HAYNES AVE, MILES CITY, MT 59301-4769
(406) 233-7000
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8212
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000097105
BCSB PIN
MT
01
—
0073117
MDCD PIN
MT
Enumeration date
08/31/2006
Last updated
02/22/2022
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