Healthcare Provider Details

I. General information

NPI: 1295966307
Provider Name (Legal Business Name): CHRISTOPHER A GALLUS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2009
Last Update Date: 01/03/2020
Certification Date: 01/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9695 S YOSEMITE ST STE 255B
LONE TREE CO
80124-2890
US

IV. Provider business mailing address

6825 S GALENA ST SUITE 314
CENTENNIAL CO
80112-3715
US

V. Phone/Fax

Practice location:
  • Phone: 720-455-3775
  • Fax: 720-455-3776
Mailing address:
  • Phone: 303-790-2225
  • Fax: 877-283-6521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberDR0055498
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: