Provider Demographics
NPI:1205361995
Name:GALE, VAL
Entity type:Individual
Prefix:
First Name:VAL
Middle Name:
Last Name:GALE
Suffix:
Gender:M
Credentials:
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 4008
Mailing Address - Street 2:MAIL STOP 801
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85244-4008
Mailing Address - Country:US
Mailing Address - Phone:480-782-2120
Mailing Address - Fax:480-782-2150
Practice Address - Street 1:151 E BOSTON ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-1944
Practice Address - Country:US
Practice Address - Phone:480-782-2120
Practice Address - Fax:480-782-2150
Is Sole Proprietor?:No
Enumeration Date:2017-05-01
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ51508146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic