Provider Demographics
NPI:1194921841
Name:GALLOWAY, ELIZABETH (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:
Last Name:GALLOWAY
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:3601 E MCDOWELL RD
Mailing Address - Street 2:APT 1020
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-4366
Mailing Address - Country:US
Mailing Address - Phone:602-291-3339
Mailing Address - Fax:623-932-9643
Practice Address - Street 1:13555 W MCDOWELL RD
Practice Address - Street 2:SUITE 104
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-2624
Practice Address - Country:US
Practice Address - Phone:623-932-9636
Practice Address - Fax:623-932-9643
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2008-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ3637363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant