Individual
DANIEL GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
10645 N TATUM BLVD, 200-152, PHOENIX, AZ 85028-3068
(602) 380-6012
(480) 287-9269
Mailing address
10645 N TATUM BLVD, STE 200-152, PHOENIX, AZ 85028-3068
(602) 380-6012
(480) 287-9269
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP3383
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472262
—
AZ
Enumeration date
09/23/2008
Last updated
03/09/2016
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