| Terry Lee Gourley, PA | |
|
2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | |
| (053) 853-2736 | |
| (308) 367-4164 |
| Full Name | Terry Lee Gourley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 2900 Doolittle Dr, Ellsworth Afb, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710014477 | NPI | - | NPPES |
| 866 | Other | NE | LICENSE |
| 1029358 | Other | SD | NCCPA CERT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 866 (Nebraska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Terry Lee Gourley, PA 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 Ph: (605) 385-3111 | Terry Lee Gourley, PA 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 Ph: (053) 853-2736 |
Audrey Mcreavy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706 Phone: 605-385-3354 | |
Douglas Robert Ryan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706 Phone: 605-385-6700 | |
Blake T Greenfield, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706 Phone: 605-385-3111 | |
Kirsten Noel Anders, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706 Phone: 605-385-3111 | |
Joshua R Paull, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706 Phone: 605-385-6700 | |
Jordan Hickman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706 Phone: 605-675-1000 |