Individual
TIMOTHY MICHAEL GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2179
(702) 877-8661
(702) 877-5140
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-8661
(702) 877-5140
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15573
NV
207L00000X
Anesthesiology Physician
MD.022259
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1676080
—
LA
05
—
1700953452
—
NV
Enumeration date
11/29/2006
Last updated
01/13/2017
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