MEDICARE: ERIKA NA GALLO

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	227800000X	Certified Respiratory Therapist	045055	AZ

General Provider Information

NPI Number	:	1952186975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA NA GALLO

Provider Business Mailing Address
First Line	:	3701 E HELENA STRA
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85706-1929
Country	:	US
Telephone Number	:	520-244-4023
Fax Number	:

Provider Business Practice Location Address
First Line	:	3701 E HELENA STRA
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85706-1929
Country	:	US
Telephone Number	:	520-244-4023
Fax Number	:

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

Provider Enumeration Date	:	08/28/2023
Last Update Date	:	08/28/2023

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Directions to “ ERIKA NA GALLO ” Practice Location

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