Provider Demographics
NPI:1912596719
Name:GALANSKY UROLOGY LLC
Entity Type:Organization
Organization Name:GALANSKY UROLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNWE
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:H
Authorized Official - Last Name:GALANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-891-9370
Mailing Address - Street 1:PO BOX 103202
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80250-3202
Mailing Address - Country:US
Mailing Address - Phone:720-826-9690
Mailing Address - Fax:720-826-9689
Practice Address - Street 1:10107 RIDGEGATE PKWY STE 330
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5399
Practice Address - Country:US
Practice Address - Phone:720-826-9690
Practice Address - Fax:720-826-9689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-15
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1315902Medicaid