Ellen M Gallant MD

NPI 1083648786 - Specialist - 174400000X

NPI Details
NPI 1083648786
Gender Female
Enumeration Date 07/10/2006
Last Updated 05/25/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
JACKSON WY, 83001-8640, US
Phone (307) 739-7690
Fax (307) 739-7644
Business Location
PO BOX 428
JACKSON WY, 83001-0428, US
Phone (307) 739-7690
Taxonomy Code 174400000X
License State Washington
License Number MD00048650
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According to our database, Dr. Ellen M Gallant MD NPI is 1083648786, taxonomy code is 174400000X and license number is MD00048650, license state is located at Washington. Ellen M Gallant MD physically located at 555 E Broadway Ave, Jackson WY, 83001-8640. NPI Number Ellen M Gallant MD has the Individual type.

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1083648786 NPI number is provided on an as is basis without warranty of any kind. 1083648786 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen M Gallant MD are for informational purposes only.