| Gerard P Champaloux Md | |
|
14300 Gallant Fox Lane Suite 110 Bowie MD 20715-4031 | |
| (301) 262-6797 | |
| (301) 262-2564 |
| Full Name | Gerard P Champaloux Md |
|---|---|
| Speciality | Family Medicine |
| Location | 14300 Gallant Fox Lane, Bowie, Maryland |
| Authorized Official Name and Position | Gerard Champaloux (DOCTOR) |
| Authorized Official Contact | 3012626296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerard P Champaloux Md 14300 Gallant Fox Lane Suite 110 Bowie MD 20715-4031 Ph: (301) 262-6797 | Gerard P Champaloux Md 14300 Gallant Fox Lane Suite 110 Bowie MD 20715-4031 Ph: (301) 262-6797 |
| NPI Number | 1417067216 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417067216 | NPI | - | NPPES |
| 784741600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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