SearchIndiana363A00000X

Jacob Galloway

NPI 1861897381 · on the registry since 2014 · sole proprietor

Practice

Address
6335 S East St
Indianapolis, IN 46227
Phone
(317) 783-7474
Clinicians at this address
8

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana