| Shane Thomas Gonnelly, PA-C | |
|
2479 E Colorado Blvd, Spearfish, SD 57783-3204 | |
| (605) 644-4460 | |
| Not Available |
| Full Name | Shane Thomas Gonnelly |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2479 E Colorado Blvd, Spearfish, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275413189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1635 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Thomas Gonnelly, PA-C 1003 21st St Ne, Watertown, SD 57201-6700 Ph: () - | Shane Thomas Gonnelly, PA-C 2479 E Colorado Blvd, Spearfish, SD 57783-3204 Ph: (605) 644-4460 |
Jessica Johnson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1420 N 10th St, Spearfish, SD 57783 Phone: 605-717-8595 | |
Gregory Larson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 E Colorado Blvd, Spearfish, SD 57783 Phone: 605-717-8860 | |
Chloe Jane Mcphilamy, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1420 N 10th St, Spearfish, SD 57783 Phone: 605-717-8595 | |
Mark Stephen Heine, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2479 E Colorado Blvd, Spearfish, SD 57783 Phone: 605-644-4460 Fax: 605-644-4461 | |
Jeffrey A Schild, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1420 N 10th St, Spearfish, SD 57783 Phone: 605-717-8595 Fax: 605-642-8618 | |
Jami Kortan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1445 North Ave, Spearfish, SD 57783 Phone: 605-644-4170 Fax: 605-644-4198 |