Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 10269 | OR |
NPI | 1023163334 |
---|---|
Provider Name | Dr. William Joseph Gallagher |
First Address | Salem, OR 97301-9366 |
Second Address | Salem, OR 97301-9366 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C92678 | (02) | OR |