Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GARY DALE NICHOLS, P.A.-C
ActiveMR. GARY DALE NICHOLS, P.A.-C is a Physician Assistant healthcare provider located in FORT LEONARD WOOD, Missouri. NPI 1437140357 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FORT LEONARD WOOD, MO
Registration Details
- NPI Number
- 1437140357
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2005 (20.745063000294 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA02338 (TX)
Practice Information
- Address
-
16TH STREETCTMC, BLDG 885FORT LEONARD WOOD, MO, 65473Browse MO providers · Browse ZIP 65473
- Phone
- 5735961680
- Fax
- 5735960423
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FORT LEONARD WOOD, MO
| Name | Credential | NPI |
|---|---|---|
| MR. THOMAS HOUSTON HUME II | PA-C MPAS | 1336138643 |
| TOBEN LYBARGER | PHYSICIAN ASSISTANT | 1114908795 |
| MRS. LAURIE ANNE MOORE | P.A. | 1295713246 |
| MR. DAVID EUGENE MULLIES | PA-C | 1841263092 |
| TROY VINCENT VAUGHN | PA-C | 1972569739 |
| MARK S SHORT | PA-C | 1194748863 |
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.