Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SEAN P. GANNUTZ, PA-C
ActiveSEAN P. GANNUTZ, PA-C is a Physician Assistant healthcare provider located in ROGERSVILLE, Missouri. NPI 1174993711 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ROGERSVILLE, MO
Registration Details
- NPI Number
- 1174993711
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2015 (10.702084129303 yrs)
- Last Updated
- Oct 24, 2018
- License
-
2015032410 (MO)
Practice Information
- Address
-
151 JOHNSTOWN DRROGERSVILLE, MO, 657429366Browse MO providers · Browse ZIP 65742
- Phone
- 4172692252
- Fax
- 4172692259
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ROGERSVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| MARVIN RAY BUTLER | PA-C | 1992741755 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.