Doctor Name: | MR. DENNIS WILLIAM GALLAGHER |
NPI Number: | 1447304753 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 2035 |
Business Practice Address: | 357 Cypress Dr Ste 4 Tequesta, FL - 334693060 |
Business Phone Number: | 5617447450 |
Business Fax Number: | 5617449742 |
Mailing Address: | 357 Cypress Dr Ste 4, TEQUESTA |
State: | FL |
Postal Code: | 334693060 |
Phone Number: | 5617447450 |
Fax Number: | 5617449742 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1101X |
License Number: | 2035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Ophthalmic Assistant |
Taxonomy Definition: |