Gregg L Shutts in Buffalo - Physician Assistant

Gregg L Shutts - NPI 1356413314

Gregg L Shutts is a Physician Assistant in Buffalo, New York. Gregg L Shutts practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gregg L Shutts is 1356413314. The last update date is 2013-04-22.

Gregg L Shutts's current location address is 155 Lawn Ave, Buffalo, New York. You can contact this provider via phone number 7168752904. The mailing address for Gregg L Shutts is 155 Lawn Ave, Buffalo, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregg L Shutts
Address 155 Lawn Ave, Buffalo, New York
Phone Number 7168752904
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1356413314
Provider Enumeration Date 2006-11-14
Last Updated Date 2013-04-22

Provider Mailing Address Detail

Address 155 Lawn Ave
City Buffalo
State New York (NY)
Post Code 142071816
Phone Number 7168752904
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 5926
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Gregg L Shutts

What is the unique identifier code issued to Gregg L Shutts by the Centers for Medicare & Medicaid Services (CMS)?

The Gregg L Shutts has been assigned the NPI (National Provider Identifier) 1356413314. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Gregg L Shutts's facilities are geographically located?

The facilities of Gregg L Shutts are physically situated at the following location: 155 Lawn Ave, Buffalo, NY, 142071816.

What is Gregg L Shutts's specialized field of practice, and what is the corresponding taxonomy classification code?

The Gregg L Shutts's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

When was the Gregg L Shutts's 1356413314 issued?

The Gregg L Shutts's 1356413314 was issued on 2006-11-14.

As of what date were the details pertaining to Gregg L Shutts last refreshed?

The information related to the Gregg L Shutts, including its address, specialty, and other relevant details, was last updated on 2013-04-22.

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