Provider Demographics
NPI:1114180932
Name:GALLUCCI, ROSS J (PA-C)
Entity Type:Individual
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First Name:ROSS
Middle Name:J
Last Name:GALLUCCI
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:7800 EAST ORCHARD ROAD
Mailing Address - Street 2:100
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2584
Mailing Address - Country:US
Mailing Address - Phone:303-697-7463
Mailing Address - Fax:303-783-1200
Practice Address - Street 1:7800 E ORCHARD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2583
Practice Address - Country:US
Practice Address - Phone:303-783-1300
Practice Address - Fax:303-783-1200
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2015-12-14
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical