Serravo, Gary Anthony

Serravo, Gary Anthony is an individual health care provider with primary practice located at 400 W 16Th St , Pueblo CO 81003-2745. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Serravo, Gary Anthony can be contacted via phone (719) 584-4306.

Contact Information

Primary practice address
400 W 16Th St Pueblo CO 81003-2745
Phone: (719) 584-4306
Fax: (719) 584-4861
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.0004647 Colorado

Profile Details

NPI number 1679922777
LBN Legal business name Serravo, Gary Anthony
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2016
Last updated Jul 6th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679922777 NPPES
Colorado Other 0004647 PHYSICIAN ASSISTANT STATE CERTIFICATION

Popular Providers