Individual
DR. BRIAN GALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
875 N GREENFIELD RD, SUITE 104, GILBERT, AZ 85234-5044
(480) 633-0551
(480) 633-0807
Mailing address
PO BOX 3229, GILBERT, AZ 85299-3229
(480) 633-0551
(480) 633-0807
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4061
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
885402
—
AZ
01
—
AZ0765320
BLUE CROSS
AZ
Enumeration date
06/27/2006
Last updated
07/08/2007
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