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Individual

DANIEL SCOTT GALLANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(831) 524-6992
Mailing address
26505 THUNDER RD APT 2, FORT RILEY, KS 66442-3546
(831) 524-6992

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
03/19/2019
Last updated
03/19/2019
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