| Charles Gang, PA | |
|
4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | |
| (573) 596-0417 | |
| Not Available |
| Full Name | Charles Gang |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023368834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Gang, PA 217 April Dr, Saint Robert, MO 65584-8200 Ph: (520) 971-5310 | Charles Gang, PA 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0417 |
Mr. Jon-marc Thibodeau, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0035 | |
Rickey Rodger Martin, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
Mr. Rexford Allan Plank Jr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
Toben Lybarger, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0456 | |
Michael Steven Godat, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
Mark S Short, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 |