Individual
DAVID A GALLEGOS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 263-0810
(801) 270-8170
Mailing address
PO BOX 276, MIDVALE, UT 84047-0276
(801) 263-0810
(801) 270-8170
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
185947-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-00008
UNITED HEALTH CARE
UT
05
—
870327686013
—
UT
01
—
QM0000076394
ALTIUS
UT
Enumeration date
05/25/2006
Last updated
07/08/2007
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