Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 11418 | MT |
N | 111NI0900X | Internist | 11418 | MT |
N | 207RC0000X | Internist - Cardiovascular Disease | 11418 | MT |
Y | 207RI0011X | Interventional Cardiology | 11418 | MT |
NPI | 1083647630 |
---|---|
Provider Name | Anthony J Galeo |
First Address | Tucson, AZ 85741-3552 |
Second Address | Tucson, AZ 85741-3552 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 13/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000097546 | BCBS (01) | MT |
011002409 | (02) | MT |
1083647630 | (05) | MT |
627356 | (05) | AZ |