Provider Demographics
NPI:1619316734
Name:GALLER, MOLLY (DVM)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:GALLER
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3329
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-3329
Mailing Address - Country:US
Mailing Address - Phone:907-745-3219
Mailing Address - Fax:907-746-5493
Practice Address - Street 1:1451 SOUTH CRIMSONVIEW COURT
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645
Practice Address - Country:US
Practice Address - Phone:907-745-3219
Practice Address - Fax:907-746-5493
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK701174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian