Individual
DR. GALO A GRIJALVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 485-7870
(716) 485-7878
Mailing address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 485-7870
(716) 485-7878
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
250606
NY
208600000X
Surgery Physician
35-082089
OH
208600000X
Surgery Physician
39428
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2754087
—
OH
05
—
64106693
—
KY
Enumeration date
11/02/2006
Last updated
09/03/2020
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