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Individual

DR. BETH CARD GALLANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3369 NE STEPHENS ST STE 100, ROSEBURG, OR 97470-1200
(541) 677-6116
(541) 957-5181
Mailing address
3369 NE STEPHENS ST STE 100, ROSEBURG, OR 97470-1200
(541) 677-6116
(541) 957-5181

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DO162858
OR
208000000X
Pediatrics Physician
OS11705
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1447421250
OR
Enumeration date
09/20/2011
Last updated
04/01/2021
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