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Individual

DR. RENEE GALLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7457 E TANQUE VERDE RD, TUCSON, AZ 85715-3477
(520) 547-4678
(520) 547-5691
Mailing address
5055 E BROADWAY BLVD, A100, TUCSON, AZ 85711-3640
(520) 327-0460
(520) 795-0225

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33715
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
939085
AZ
01
Z116024
MEDICARE PTAN
AZ
Enumeration date
09/20/2005
Last updated
12/03/2021
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