NPI 1003444894

Shea Nicole Gallus

Practitioner Pediatrics Physician Phoenix, AZ

Practice location

Address: 1919 E Thomas Rd, Phoenix, AZ 85016-7710
Phone: (602) 933-1000

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 125.076399 (IL)

Other Pediatrics providers in Arizona →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Arizona →

Registry record

NPI: 1003444894
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2020
Record last updated: 4 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.