MEDICARE: ALLYSON BETH GALLER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	238766	AK
2	363A00000X	Physician Assistant	7966	GA
3	363A00000X	Physician Assistant	PA08348	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	320204602	OTHER	TX	CSHCN

General Provider Information

NPI Number	:	1033450382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSON BETH GALLER PA-C

Provider Business Mailing Address
First Line	:	3331 E MERIDIAN PARK LOOP
Second Line	:
City	:	WASILLA
State	:	AK
Zip	:	99654-7294
Country	:	US
Telephone Number	:	907-864-4625
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 E DIMOND BLVD STE 103
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99515-2001
Country	:	US
Telephone Number	:	907-267-5890
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2013
Last Update Date	:	03/05/2026

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