Individual provider · Type 1 NPI

Colleen L. Gallimore, PAC

Surgical Physician Assistant · Lawton, OK

NPI number 1346220415 Active

Practice location

3401 W Gore Blvd
Lawton, OK 73505

Call (580) 357-4339 Map

Fax (580) 357-4423

Mailing address

PO Box 785
Lawton, OK 73502

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XAPA1505 (OK)

Surgical Physician Assistant: Definition to come...

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About NPI 1346220415

Colleen L. Gallimore, PAC's National Provider Identifier is 1346220415, issued on Jan 17, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lawton, OK. The record was last updated on Aug 1, 2008.