Individual
EDWARD RAYMOND GALLAGHER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1815 SEABEE DR, PHIBCB TWO, VIRGINIA BEACH, VA 23459-8917
(757) 462-8710
Mailing address
1815 SEABEE DR, PHIBCB TWO, VIRGINIA BEACH, VA 23459-8917
(757) 462-8710
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
01/26/2006
Last updated
08/23/2010
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