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NPI Code Detail

MEDICARE: MARTHA GALLI PA-C

MEDICARE: MARTHA GALLI PA-C
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 Assistant

General Provider Information

NPI Number : 1154671006
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA GALLI PA-C
Provider Business Mailing Address
First Line : 27891 VIOLET
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-6689
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2233 W KAGY BLVD STE 2
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-5938
Country : US
Telephone Number : 406-586-7873
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2012
Last Update Date : 12/01/2025

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Directions to “ MARTHA GALLI PA-C” Practice Location

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