Tasha Gallup, PA-C
NPI #1679973390 in Plymouth, New Hampshire
Provider Information
- NPI Number
- 1679973390
- Entity Type
- Individual
- Name
- Tasha Gallup, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Aug 29, 2014
- Last Updated
- Feb 7, 2025
Practice Location
- Address
- 101 BOULDER POINT DR STE 1
- City
- Plymouth
- State
- New Hampshire
- ZIP Code
- 03264-3170
- Phone
- (603) 536-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Physician Assistant - Medical — Medical |
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