Cory Lynn Gallivan, D.O. is a student in an organized health care education training program in Jacksonville, FL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Cory Lynn Gallivan, D.O. NPI is 1164009767. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
653 W 8TH ST
JACKSONVILLE, FL
ZIP 32209-511
Phone: (847) 612-0459
The enumeration date for this NPI number is 3/28/2021 and was last updated on 3/28/2021.