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Individual

BILLY J GALLIGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 N WHITLEY DR, FRUITLAND, ID 83619-2434
(208) 452-2672
(208) 452-2673
Mailing address
660 E FRANKLIN RD STE 140, MERIDIAN, ID 83642-2914
(208) 452-2672
(208) 452-2673

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MRM-1473
ID
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
M-13499
ID

Other

Enumeration date
05/29/2015
Last updated
04/15/2025
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