Gallo, Roel Angel

Gallo, Roel Angel is an individual health care provider with primary practice located at 1003 Willow Creek Rd , Prescott AZ 86301-1641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Gallo, Roel Angel can be contacted via phone (480) 985-1093.

Contact Information

Primary practice address
1003 Willow Creek Rd Prescott AZ 86301-1641
Phone: (480) 985-1093
Fax: (480) 985-0468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 21021 Arizona

Profile Details

NPI number 1558335596
LBN Legal business name Gallo, Roel Angel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jan 24th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558335596 NPPES
Arizona Other AX5901 HEALTHNET PROV NUMBER
Arizona Other CB2931 HEALTHNET PROV NUMBER
Arizona MEDICAID 497025 HEALTHNET PROV NUMBER
Arizona Other AZ0876870 HEALTHNET PROV NUMBER

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