Gary Dale Nichols in Fort Leonard Wood - Physician Assistant
Gary Dale Nichols - NPI 1437140357
Gary Dale Nichols is a Physician Assistant in Fort Leonard Wood, Missouri. Gary Dale Nichols practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gary Dale Nichols is 1437140357. The last update date is 2007-07-08.
Gary Dale Nichols's current location address is 16th Street, Fort Leonard Wood, Missouri. You can contact this provider via phone number 5735961680 and fax number 5735960423. The mailing address for Gary Dale Nichols is 16th Street, Fort Leonard Wood, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Dale Nichols |
|---|---|
| Address | 16th Street, Fort Leonard Wood, Missouri |
| Phone Number | 5735961680 |
| Fax Number | 5735960423 |
| Sole Proprietor | X |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1437140357 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16th Street |
|---|---|
| City | Fort Leonard Wood |
| State | Missouri (MO) |
| Post Code | 65473 |
| Phone Number | 5735961680 |
| Fax Number | 5735960423 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA02338 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA02338 | TX | STATE LICENSE/PERMIT |
Post Comment/ Review Below
What is the unique identifier code issued to Gary Dale Nichols by the Centers for Medicare & Medicaid Services?
The Gary Dale Nichols has been assigned the NPI (National Provider Identifier) 1437140357. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gary Dale Nichols is physically located?
The Gary Dale Nichols is situated at the following address: 16Th Street, Fort Leonard Wood, MO 65473.
What is Gary Dale Nichols's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gary Dale Nichols is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Gary Dale Nichols receive the assignment of its 1437140357 from the Centers for Medicare & Medicaid Services?
The Gary Dale Nichols was issued its 1437140357 by the Centers for Medicare & Medicaid Services on 2005-10-31.
As of what date was the information pertaining to Gary Dale Nichols, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gary Dale Nichols, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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