Individual
MICHAEL ANTHONY GALLIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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