Healthcare Provider Details

I. General information

NPI: 1437891223
Provider Name (Legal Business Name): JEFFREY CHARLES GALLOWAY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 S WADSWORTH BLVD
LAKEWOOD CO
80232-6832
US

IV. Provider business mailing address

15101 E ILIFF AVE STE 140
AURORA CO
80014-4548
US

V. Phone/Fax

Practice location:
  • Phone: 720-878-7055
  • Fax: 720-390-5188
Mailing address:
  • Phone: 414-527-8191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0075282
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: