| Doctor Name: | MR. GEORGE GALLAP |
| NPI Number: | 1023445855 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RT(R) |
| License Number: | 00070041 |
| Business Practice Address: | 1435 Mcfarlan St Eureka, CA - 955011345 |
| Business Phone Number: | 2077123653 |
| Business Fax Number: | |
| Mailing Address: | 1435 Mcfarlan St, EUREKA |
| State: | CA |
| Postal Code: | 955011345 |
| Phone Number: | 2077123653 |
| Fax Number: | |
| NPI Enumeration Date: | 10/14/2013 |
| NPI Last Update Date: | 10/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471C3402X |
| License Number: | 00070041 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Radiography |
| Taxonomy Definition: | |