Craig David Gallagher in Pismo Beach - Physician Assistant
Craig David Gallagher - NPI 1538348206
Craig David Gallagher is a Physician Assistant in Pismo Beach, California. Craig David Gallagher practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Craig David Gallagher is 1538348206. The last update date is 2007-10-30.
Craig David Gallagher's current location address is 800 Price Canyon Rd, Pismo Beach, California. You can contact this provider via phone number 8055454441. The mailing address for Craig David Gallagher is 800 Price Canyon Rd, Pismo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig David Gallagher |
|---|---|
| Address | 800 Price Canyon Rd, Pismo Beach, California |
| Phone Number | 8055454441 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1538348206 |
|---|---|
| Provider Enumeration Date | 2007-10-30 |
| Last Updated Date | 2007-10-30 |
Provider Mailing Address Detail
| Address | 800 Price Canyon Rd |
|---|---|
| City | Pismo Beach |
| State | California (CA) |
| Post Code | 934492722 |
| Phone Number | 8055454441 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 11403 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code assigned to Craig David Gallagher by the Centers for Medicare & Medicaid Services?
The Craig David Gallagher has been issued the NPI (National Provider Identifier) 1538348206, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Craig David Gallagher's physical address?
The Craig David Gallagher is physically located at 800 Price Canyon Rd, in the city of Pismo Beach, CA, with the postal code 934492722.
What is the area of specialization for Craig David Gallagher, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Craig David Gallagher is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date was the 1538348206 assigned to Craig David Gallagher?
The Craig David Gallagher was issued its 1538348206 on 2007-10-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Craig David Gallagher, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Craig David Gallagher, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-30.