Provider Demographics
NPI:1922382845
Name:GALLO, SARA E (PA)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:E
Last Name:GALLO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:E
Other - Last Name:MOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1805 SHEA CENTER DR STE 450
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2255
Mailing Address - Country:US
Mailing Address - Phone:303-357-2559
Mailing Address - Fax:720-573-6156
Practice Address - Street 1:9950 W 80TH AVE STE 23
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-3914
Practice Address - Country:US
Practice Address - Phone:303-827-7844
Practice Address - Fax:720-573-6156
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4193363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008036977Medicaid
CT008036977Medicaid