Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN C. GULLAGE, PA-C
ActiveMR. JOHN C. GULLAGE, PA-C is a Surgical Physician Assistant healthcare provider located in LEBANON, Missouri. NPI 1558399923 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · LEBANON, MO
Registration Details
- NPI Number
- 1558399923
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2006 (20.163858284175 yrs)
- Last Updated
- Mar 17, 2021
- Licenses
-
PA10002052 (WA)1999 (NE)2013029322 (MO)
Practice Information
- Address
-
331 HOSPITAL DR STE ALEBANON, MO, 655369251Browse MO providers · Browse ZIP 65536
- Phone
- 4175336560
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
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.