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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL K. GADDY, PA-C

Active

Medical Physician Assistant · MOUNTAIN VIEW, MO

Registration Details

NPI Number
1871675702
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2006 (19.506445963344 yrs)
Last Updated
Jul 15, 2008
License
112033 (MO)

Practice Information

Address
104 EAST HIGHWAY 60
MOUNTAIN VIEW, MO, 65548
Browse MO providers · Browse ZIP 65548
Phone
4179342251
Fax
4179342871
Primary Specialty
Medical Physician Assistant
363AM0700X
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.