Provider Demographics
NPI:1285783464
Name:GALLOWAY, GIL Q (MD)
Entity type:Individual
Prefix:DR
First Name:GIL
Middle Name:Q
Last Name:GALLOWAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:303 SANTA FE DR
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5132
Mailing Address - Country:US
Mailing Address - Phone:760-635-9185
Mailing Address - Fax:760-942-1359
Practice Address - Street 1:303 SANTA FE DR
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5132
Practice Address - Country:US
Practice Address - Phone:760-635-9185
Practice Address - Fax:760-942-1359
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG083314208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
F19780Medicare UPIN