Individual provider · NPI-1

Dr. Alan Gall, M.D.

Otolaryngology · Saint Petersburg, FL

NPI number1154586485
StatusActive
Last updated in NPPESJul 25, 2008

Details

NPI
1154586485
Entity type
Individual (NPI-1)
Name
Dr. Alan Gall
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 25, 2008
Last updated
Jul 25, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X OtolaryngologyME32421FLYes

Practice location

2010 Park Street North
Saint Petersburg, FL 33710

Phone 727-398-9539

Mailing address

2010 Park St N
Saint Petersburg, FL 33710-3604

Phone 727-384-0172

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