Provider Demographics
NPI:1053427229
Name:GALLOWAY, JAMES MALCOLM (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MALCOLM
Last Name:GALLOWAY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1215 N BEAVER ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-3126
Mailing Address - Country:US
Mailing Address - Phone:028-214-3920
Mailing Address - Fax:928-214-3924
Practice Address - Street 1:1215 N BEAVER ST
Practice Address - Street 2:SUITE 201
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-3126
Practice Address - Country:US
Practice Address - Phone:028-214-3920
Practice Address - Fax:928-214-3924
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ19500207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease