Provider Demographics
NPI:1407309164
Name:GALLION, STEVA (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVA
Middle Name:
Last Name:GALLION
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 CAJON ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-5980
Mailing Address - Country:US
Mailing Address - Phone:888-337-0288
Mailing Address - Fax:
Practice Address - Street 1:555 CAJON ST
Practice Address - Street 2:SUITE A
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-5980
Practice Address - Country:US
Practice Address - Phone:888-337-0288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-29
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program