Individual provider · Type 1 NPI

Denise Lynn Gallus, PA

Medical Physician Assistant · Prescott, AZ

NPI number 1720618374 Active

Practice location

1000 Willow Creek Rd Ste E
Prescott, AZ 86301-1645

Call (928) 583-7887 Map

Mailing address

1264 Crown Ridge Dr
Prescott, AZ 86301-6556

Other practice locations

  • 22601 N 19th Ave Ste 112, Phoenix, AZ 85027-1324 · (602) 582-1704

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1900 (AZ)
Gynecology Physician 207VG0400X1900 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1720618374

Denise Lynn Gallus, PA's National Provider Identifier is 1720618374, issued on Jan 23, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Prescott, AZ. The record was last updated on Mar 6, 2026.