MR. Maynard Shawn Gonter, PA-C

NPI #1396737391 in Tyler, Texas

Provider Information

NPI Number: 1396737391
Entity Type: Individual
Name: MR. Maynard Shawn Gonter, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 17, 2005
Last Updated: Apr 8, 2016

Practice Location

Address: 800 E DAWSON ST
City: Tyler
State: Texas
ZIP Code: 75701-2036
Phone: (903) 567-4841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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