Provider Demographics
NPI:1255323374
Name:GALLI, DAVID A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:GALLI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:121 SAINT LUKES CENTER DR
Mailing Address - Street 2:SUITE 506
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3509
Mailing Address - Country:US
Mailing Address - Phone:314-576-8102
Mailing Address - Fax:314-576-8122
Practice Address - Street 1:121 SAINT LUKES CENTER DR
Practice Address - Street 2:SUITE 506
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3509
Practice Address - Country:US
Practice Address - Phone:314-576-8102
Practice Address - Fax:314-576-8122
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2010-02-11
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Provider Licenses
StateLicense IDTaxonomies
MO111166207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP00311514OtherRAILROAD MEDICARE
MOP00311514OtherRAILROAD MEDICARE
MO001013444Medicare PIN