Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL K. GADDY, PA-C
ActiveMedical 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 60MOUNTAIN VIEW, MO, 65548Browse 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.