Gallegos, David A

Gallegos, David A is an individual health care provider with primary practice located at 1050 E South Temple , Salt Lake City UT 84102-1507. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gallegos, David A can be contacted via phone (801) 263-0810.

Contact Information

Primary practice address
1050 E South Temple Salt Lake City UT 84102-1507
Phone: (801) 263-0810
Fax: (801) 270-8170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 185947-1205 Utah

Profile Details

NPI number 1649226226
LBN Legal business name Gallegos, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649226226 NPPES
Utah MEDICAID 870327686013
Utah Other QM0000076394
Utah Other 11-00008

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