Individual
DR. THOMAS GALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. M.P.H.
Contact information
Practice address
8075 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2693
(317) 621-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01071075A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000766229
ANTHEM PROVIDER NUMBER
IN
05
—
201064450
—
IN
Enumeration date
06/28/2007
Last updated
12/31/2024
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