Provider Demographics
NPI:1770300857
Name:GALLAHER, RILEY CATHRYN
Entity type:Individual
Prefix:
First Name:RILEY
Middle Name:CATHRYN
Last Name:GALLAHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12368 W ARIZONA AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-3610
Mailing Address - Country:US
Mailing Address - Phone:830-237-5328
Mailing Address - Fax:
Practice Address - Street 1:12368 W ARIZONA AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-3610
Practice Address - Country:US
Practice Address - Phone:830-237-5328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program