person
Gary Anthony Serravo, PA-C
Medical Physician Assistant in Pueblo, Colorado
NPI 1679922777

Gary Anthony Serravo is a Medical Physician Assistant based in Pueblo, CO and is specialized in Medical. Gary Anthony Serravo practices in Pueblo, CO and has the professional credentials of PA-C. The NPI Number for Gary Anthony Serravo is 1679922777 and holds a License No. PA.0004647 (Colorado).

The current practice location address for Gary Anthony Serravo is 400 W 16Th St, Pueblo, CO and can be reached out via phone at 719-584-4306 and via fax at 719-584-4861. You can also correspond with Gary Anthony Serravo through the mailing address at 400 W 16TH ST, PUEBLO, CO - 81003-2745 (mailing address contact number: 719-584-4306).

Location: 400 W 16Th St, Pueblo, CO, 81003-2745
person
Provider Profile Details
NPI Number
1679922777
Provider Name
Gary Anthony Serravo
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
400 W 16Th St, Pueblo, CO, 81003-2745
Phone Number
719-584-4306
Fax Number
719-584-4861
Provider Enumeration Date
06/09/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0004647 01 CO PHYSICIAN ASSISTANT STATE CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
400 W 16Th St
City
State
Zip
81003-2745
Phone Number
719-584-4306
Fax Number
719-584-4861
person
Provider Business Mailing Address Details
Address
400 W 16Th St
City
State
Zip
81003-2745
Phone Number
719-584-4306
Fax Number
719-584-4861
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA.0004647 (Colorado)
Definition
Definition to come...
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