Provider Demographics
NPI:1710113345
Name:GALLEGOS, DAVID KIRK (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KIRK
Last Name:GALLEGOS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7557A DANNAHER DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849
Mailing Address - Country:US
Mailing Address - Phone:865-521-8050
Mailing Address - Fax:865-544-5816
Practice Address - Street 1:7557A DANNAHER DRIVE
Practice Address - Street 2:SUITE 220
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849
Practice Address - Country:US
Practice Address - Phone:865-521-8050
Practice Address - Fax:865-637-6617
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2014-11-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN51260207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology