Individual provider · Type 1 NPI

Gary Blaine Tooley, P.A.-C

Medical Physician Assistant · Memphis, TN

NPI number 1164520078 Active

Practice location

1030 Jefferson Ave
Memphis, TN 38104-2127

Mailing address

1430 River Boat Cir, Apt 104
Memphis, TN 38103-6988

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA0000000973 (TN)

Medical Physician Assistant: Definition to come...

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About NPI 1164520078

Gary Blaine Tooley, P.A.-C's National Provider Identifier is 1164520078, issued on Sep 21, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Memphis, TN. The record was last updated on Jul 8, 2007.