Healthcare Provider Details

I. General information

NPI: 1902244114
Provider Name (Legal Business Name): JAMES OREY GALLE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2013
Last Update Date: 10/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 AIRPORT BLVD BLDG B
MOBILE AL
36608-6705
US

IV. Provider business mailing address

6701 AIRPORT BLVD STE D143
MOBILE AL
36608-6701
US

V. Phone/Fax

Practice location:
  • Phone: 251-633-1890
  • Fax:
Mailing address:
  • Phone: 205-558-3484
  • Fax: 205-930-2158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number01080530A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number11017281A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberMD.36799
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: