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NPI Code Detail

MEDICARE: FRANCENE M GALLOUSIS MD

MEDICARE:   FRANCENE M GALLOUSIS  MD
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
12080N0001XNeonatal-Perinatal Medicine Physician193633NY
2207VM0101XMaternal & Fetal Medicine Physician72093AZ

General Provider Information

NPI Number : 1578558003
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCENE M GALLOUSIS MD
Provider Business Mailing Address
First Line : PO BOX 81064
Second Line :
City : CLEVELAND
State : OH
Zip : 44181-0064
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6367 E TANQUE VERDE RD STE 200
Second Line :
City : TUCSON
State : AZ
Zip : 85715-3832
Country : US
Telephone Number : 520-392-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 02/18/2025

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Directions to “ FRANCENE M GALLOUSIS MD” Practice Location

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