Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | MD.303082 | LA |
NPI | 1154640316 |
---|---|
Provider Name | Christopher Joseph Galea |
First Address | Reno, NV 89509-4348 |
Second Address | Reno, NV 89509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2010 |
Last Update Date | 17/02/2021 |