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NPI Code Detail

MEDICARE: GALLARON GROUP LLC

MEDICARE: GALLARON GROUP LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WG0000XGeneral Practice Registered Nurse

General Provider Information

NPI Number : 1023849890
Entity Type Code : Organization
Provider Name (Legal Business Name) : GALLARON GROUP LLC
Provider Business Mailing Address
First Line : 1136 VIA ROCCA
Second Line :
City : HENDERSON
State : NV
Zip : 89052-0520
Country : US
Telephone Number : 702-588-9723
Fax Number :
Provider Business Practice Location Address
First Line : 9788 GILESPIE ST STE D-426
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-7604
Country : US
Telephone Number : 702-588-9721
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JERRY J GALLARON
Credential : NURSE PRACTITIONER
Telephone Number : 702-588-9723
Provider Enumeration Date : 08/12/2024
Last Update Date : 08/12/2024

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Directions to “GALLARON GROUP LLC ” Practice Location

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