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1083647630

NPI Code Detail

MEDICARE: ANTHONY J GALEO MD

MEDICARE: ANTHONY J GALEO MD

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
1	207RC0000X	Cardiovascular Disease Physician	11418	MT
2	207R00000X	Internal Medicine Physician	11418	MT
3	207RI0011X	Interventional Cardiology Physician	11418	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000097546	OTHER	MT	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083647630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY J GALEO MD

Provider Business Mailing Address
First Line	:	6320 N LA CHOLLA BLVD STE 300
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741-3552
Country	:	US
Telephone Number	:	520-545-0953
Fax Number	:	520-545-0954

Provider Business Practice Location Address
First Line	:	6320 N LA CHOLLA BLVD STE 300
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741-3552
Country	:	US
Telephone Number	:	520-545-0953
Fax Number	:	520-545-0954

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	09/13/2021

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Directions to “ ANTHONY J GALEO MD” Practice Location

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