Dr Stephen R Gallo, DO | |
3800 S National Ave Ste 160, Springfield, MO 65807-5228 | |
(000) 000-0000 | |
Not Available |
Full Name | Dr Stephen R Gallo |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 3800 S National Ave Ste 160, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710368725 | NPI | - | NPPES |
200122829 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | OS18918 (Florida) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 2023013922 (Missouri) | Primary |
Entity Name | Lester E Cox Medical Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427123140 PECOS PAC ID: 5799787784 Enrollment ID: O20070215000019 |
Entity Name | Lester E Cox Medical Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750036703 PECOS PAC ID: 1254248917 Enrollment ID: O20220509000988 |
Mailing Address | Practice Location Address |
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Dr Stephen R Gallo, DO Po Box 505673, Saint Louis, MO 63150-5673 Ph: () - | Dr Stephen R Gallo, DO 3800 S National Ave Ste 160, Springfield, MO 65807-5228 Ph: (000) 000-0000 |
Matthew E Simpson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 761 S Hickory Ter, Springfield, MO 65809 Phone: 417-894-6536 | |
Zachary C Schmittling, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Springfield, MO 65807 Phone: 417-875-3700 Fax: 417-875-3737 | |
Dr. Robert M Cavagnol, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1965 S Fremont Ave, Suite 100, Springfield, MO 65804 Phone: 417-820-3800 Fax: 417-820-3810 | |
Timothy D Woods, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3245 | |
Charles W Dunn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1222 S Delaware Ave, Springfield, MO 65804 Phone: 417-860-7743 Fax: 417-269-7567 | |
James Gibson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3015 S Ridge Dr, Springfield, MO 65809 Phone: 417-887-2342 | |
Dr. Dante Caleb-samuel Dali, DO, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-3960 |