Individual
MICHAEL ANTHONY GALLIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10107 RIDGEGATE PKWY STE 370, LONE TREE, CO 80124-6003
(303) 790-7181
Mailing address
10107 RIDGEGATE PKWY STE 370, LONE TREE, CO 80124-6003
(303) 790-7181
(303) 768-8028
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2009016703
MO
207X00000X
Orthopaedic Surgery Physician
2014-00466
NC
207X00000X
Orthopaedic Surgery Physician
55166
CO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
55166
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014-00466
NORTH CAROLINA STATE LICENSE
NC
01
—
55166
CO STATE LICENSE
CO
01
—
NCI785A
MEDICARE PTAN
NC
Enumeration date
06/29/2009
Last updated
01/14/2022
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