Individual
DR. GARY LYLE GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 SW MILL VIEW WAY STE 250, BEND, OR 97702-1140
(541) 728-3184
Mailing address
2249 NW LAKESIDE PL, BEND, OR 97703-1354
(541) 728-3184
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD21961
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134297
—
OR
Enumeration date
02/08/2007
Last updated
01/02/2020
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