Healthcare Provider Details

I. General information

NPI: 1316205305
Provider Name (Legal Business Name): SABINA GALLION M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2012
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

969 N MASON RD STE 110
SAINT LOUIS MO
63141-6338
US

IV. Provider business mailing address

969 N MASON RD STE 110
SAINT LOUIS MO
63141-6338
US

V. Phone/Fax

Practice location:
  • Phone: 314-996-3434
  • Fax: 314-996-3435
Mailing address:
  • Phone: 314-996-3434
  • Fax: 314-996-3435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2017002986
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2017002986
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: