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General NPI Number Information
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NPI Number | 1386678670
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Entity Type | Individual
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Provider Name | WILLIAM P. GALLI D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 11/19/2014
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Provider Practice Location Address
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Address Line | 615 S NEW BALLAS RD
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8221
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Country | US
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Telephone | 314-251-6486
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Fax | 314-251-4155
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Provider Business Mailing Address
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Address Line | 621 S NEW BALLAS RD SUITE 4006B
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8232
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Country | US
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Telephone | 314-251-6486
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Fax | 314-251-4155
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | E2629
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 2011019868
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License Number State | MO
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