Individual
VICKY M GALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4225
(419) 479-6193
Mailing address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4225
(419) 479-6193
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
01248
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312027
ANTHEM
OH
05
—
2044504
—
OH
01
—
344428256102
CARESOURCE
OH
Enumeration date
07/14/2005
Last updated
08/27/2013
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