JACOB GALLOWAY

INDIANAPOLIS, IN
NPI1861897381
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10001745A)
Enumeration Date2014-10-27
Last Update Date2014-10-27
Business Address
-- JACOB GALLOWAY
6335 S EAST ST
INDIANAPOLIS, IN 46227-7112
Phone number: 317-783-7474
Mailing Address
-- JACOB GALLOWAY
5216 N 300 E
LA PORTE, IN 46350-8949
Phone number: 219-877-4805
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