Provider Demographics
NPI:1962466094
Name:GALA, PETER F JR (DC, FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:F
Last Name:GALA
Suffix:JR
Gender:M
Credentials:DC, FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1570 LONGVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-8060
Mailing Address - Country:US
Mailing Address - Phone:720-318-4953
Mailing Address - Fax:
Practice Address - Street 1:6850 E EVANS AVE STE 102
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2300
Practice Address - Country:US
Practice Address - Phone:303-691-5009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5373111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No111N00000XChiropractic ProvidersChiropractor