William R. Gallivan, Jr., M.d., Inc.

NPI 1043615180 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1043615180
Enumeration Date 10/31/2014
Last Updated 10/31/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name WILLIAM WILLIAM
Position PRESIDENT
Phone (805) 686-9787
Fax
Practice Location
2040 VIBORG RD
STE 230
SOLVANG CA, 93463-2272, US
Phone (805) 686-9787
Fax
Business Location
146 CANON DR
SANTA BARBARA CA, 93105-2660, US
Phone (805) 687-6456
Fax
Toxanomy
Taxonomy Code 207X00000X
License State California
License Number G73901
Remove 1043615180 NPI Number
 

According to our database, William R. Gallivan, Jr., M.d., Inc. NPI is 1043615180, taxonomy code is 207X00000X and license number is G73901, license state is located at California. William R. Gallivan, Jr., M.d., Inc. physically located at 2040 Viborg Rd, Solvang CA, 93463-2272. NPI Number 1033115704 has the healthcare provider type.

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1043615180 NPI number is provided on an as is basis without warranty of any kind. 1043615180 is maintained by the National Plan & Provider Enumeration System. The contents of William R. Gallivan, Jr., M.d., Inc. are for informational purposes only.