Shane Thomas Gonnelly, PA-C
NPI #1275413189 in Spearfish, South Dakota
Provider Information
- NPI Number
- 1275413189
- Entity Type
- Individual
- Name
- Shane Thomas Gonnelly, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 3, 2025
- Last Updated
- Sep 3, 2025
Practice Location
- Address
- 2479 E COLORADO BLVD
- City
- Spearfish
- State
- South Dakota
- ZIP Code
- 57783-3204
- Phone
- (605) 644-4460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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