Search › Missouri › 363AS0400X
John Gullage, PA-C
NPI 1558399923 · on the registry since 2006
Practice
- Address
- 331 Hospital Dr Ste A
Lebanon, MO 65536 - Phone
- (417) 533-6560
- Organisation at this address
- Mercy St John'S
St Johns Clinic Inc
Mercy Hospital Lebanon
St John'S Hospital Lebanon
Forefront Dermatology, S.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Additional practice sites
- 3050 E River Bluff Blvd, Ozark, MO
- 608 Old Route 66, Saint Robert, MO
- 9730 3rd Ave Ne Ste 201, Seattle, WA
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363AS0400X
363AS0400X - Licence states on file
- WA, NE, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri