Sean P. Gannutz, PA-C

NPI #1174993711 in Rogersville, Missouri

Provider Information

NPI Number: 1174993711
Entity Type: Individual
Name: Sean P. Gannutz, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 25, 2015
Last Updated: Oct 24, 2018

Practice Location

Address: 151 JOHNSTOWN DR
City: Rogersville
State: Missouri
ZIP Code: 65742-9366
Phone: (417) 269-2252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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