Individual
JACK ANTHONY GALBRAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3630 S GEYER RD STE 320, SAINT LOUIS, MO 63127-1234
(314) 996-4900
(314) 996-4901
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-9354
(314) 448-3791
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008025165
MO
207Q00000X
Family Medicine Physician
T2006016537
MO
Other
Enumeration date
09/07/2006
Last updated
04/07/2026
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