Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | DR0055498 | CO |
NPI | 1295966307 |
---|---|
Provider Name | Dr. Christopher A Gallus |
First Address | Centennial, CO 80112-3715 |
Second Address | Lone Tree, CO 80124-2890 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2009 |
Last Update Date | 03/01/2020 |