Healthcare Provider Details

I. General information

NPI: 1104803949
Provider Name (Legal Business Name): DANIEL D GALAT JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2005
Last Update Date: 01/02/2022
Certification Date: 01/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10290 N 92ND ST STE 200
SCOTTSDALE AZ
85258-4528
US

IV. Provider business mailing address

4340 E INDIAN SCHOOL RD STE 21 #270
PHOENIX AZ
85018
US

V. Phone/Fax

Practice location:
  • Phone: 602-767-4732
  • Fax:
Mailing address:
  • Phone: 602-767-4732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number40619
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: