Provider Demographics
NPI:1265413249
Name:GALGANI, JOHN (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:GALGANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 23340
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63156-3340
Mailing Address - Country:US
Mailing Address - Phone:314-838-7912
Mailing Address - Fax:314-921-6283
Practice Address - Street 1:637 DUNN RD STE 180
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-1759
Practice Address - Country:US
Practice Address - Phone:314-838-7912
Practice Address - Fax:314-921-6283
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR7E822080P0205X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO4090132OtherAETNA
MO92215275OtherBLUE SHIELD
MO3300022OtherUHC FLORISSANT ENDOCR
MO100399OtherHEALTHLINK
MO192023OtherGHP FLORISSANT ENDOCR
MO1955V34311OtherHEALTHCARE USA
MO40195OtherGHP
MO1200166OtherUHC
MO16502OtherBCBS PCP
MO40195OtherGHP HMO FFS
MO431383893GALOtherMERCY