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NPI Code Detail

MEDICARE: MR. PATRICK J GALASKA II PA-C, MPAS

MEDICARE: MR. PATRICK J GALASKA II PA-C, MPAS
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
1363A00000XPhysician AssistantPA.0001062CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124007596
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PATRICK J GALASKA II PA-C, MPAS
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 719-463-5600
Fax Number :
Provider Business Practice Location Address
First Line : 1633 MEDICAL CENTER PT
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-5700
Country : US
Telephone Number : 719-228-0400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 08/16/2024

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