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Contact Information

QUINN GALLEN, OD
84 PROFESSIONAL PKWY
TROY, MO63379-2822
 Phone: 901-832-4090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Occupational Vision

152WX0102X 41 Optometry
Indicates primary specialty

NPI Profile & details for QUINN GALLEN · (Male)

NPI Number 1619594470
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/28/2020
Last updated 06/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 046.011449
  • MO License # 2020015615
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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