Organization
CHRISTIAN GALLERY MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN ANDREW GALLERY MD (OWNER)
(209) 385-3280
Entity
Organization
Contact information
Practice address
2644 M ST, STE. H, MERCED, CA 95340-2826
(209) 385-3280
(209) 385-3286
Mailing address
2644 M ST STE H, MERCED, CA 95340-2826
(209) 385-3280
(209) 385-3286
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G66256
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0099810
—
CA
01
—
ZZZ65531Z
BLUE SHIELD GRP NUMBER
CA
Enumeration date
08/17/2006
Last updated
05/28/2014
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