Luis Gilmer Gallegos Medina, SA-C

NPI #1720663503 in Ashburn, Virginia

Provider Information

NPI Number: 1720663503
Entity Type: Individual
Name: Luis Gilmer Gallegos Medina, SA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist/Technologist, Other - Surgical Assistant
Credential: SA-C
Enumeration Date: Mar 13, 2021
Last Updated: Mar 13, 2021

Practice Location

Address: 44360 SUNSET MAPLE DR
City: Ashburn
State: Virginia
ZIP Code: 20147-3890
Phone: (571) 762-9435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant	246ZC0007X	Primary

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