Individual
TABITHA LYNN IRELAND GALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HOSPITAL DR # MA314, COLUMBIA, MO 65212-5276
(573) 882-6737
(573) 884-4205
Mailing address
9500 EUCLID AVE # A71, CLEVELAND, OH 44195-0001
(216) 444-4949
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2010018489
MO
Other
Enumeration date
06/23/2010
Last updated
06/29/2015
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