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Individual

JAMES E GALLAGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1122 ORTEGO DR, FAIRBORN, OH 45324
(937) 371-4580
(937) 371-4580
Mailing address
1122 ORTEGO DR, FAIRBORN, OH 45324-5733
(937) 371-4580
(937) 371-4580

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.002727
OH

Other

Enumeration date
05/08/2008
Last updated
11/04/2008
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