Individual
WILLIAM R GALLIVAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 W JUNIPERO ST, SANTA BARBARA, CA 93105-4305
(805) 220-6020
(805) 284-0085
Mailing address
320 W JUNIPERO ST, SANTA BARBARA, CA 93105-4305
(805) 220-6020
(805) 284-0085
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G73901
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
G73901
CA
Other
Enumeration date
07/16/2006
Last updated
09/27/2015
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