Individual
JOHN MICHAEL GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6182
(814) 877-6149
Mailing address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6182
(814) 877-6149
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS005667L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011289701
UNIVERA
NY
05
—
0011217080007
—
PA
01
—
0114567
OH MEDICAL ASSISTANCE
OH
01
—
02360263
NY MEDICAL ASSISTANCE
NY
01
—
1068883
WEST VIRGINIA WORK COMP
WV
01
—
137659
UNISON - HAMOT RADIOLOGY
PA
01
—
147584
UNISON - IMAGING CENTER
PA
01
—
1513766
GATEWAY
PA
01
—
176405
BLUE SHIELD
PA
01
—
300135755
RR MEDICARE
PA
01
—
302860
UPMC
PA
01
—
3189978
AETNA
PA
Enumeration date
07/19/2005
Last updated
05/16/2013
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