Doctor Name: | DR. PEDRITO A GALUPO |
NPI Number: | 1992714679 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35033085 |
Business Practice Address: | 324 W High St Bryan, OH - 435061614 |
Business Phone Number: | 4196362525 |
Business Fax Number: | 4196360632 |
Mailing Address: | 119 Maple St, MARIETTA |
State: | OH |
Postal Code: | 457502742 |
Phone Number: | 7403761520 |
Fax Number: | 7403761525 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 05/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35033085 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |