Individual provider · Type 1 NPI

Gary Dale Nichols, P.A.-C

Physician Assistant · Fort Leonard Wood, MO

NPI number 1437140357 Active

Practice location

16th Street, Ctmc, Bldg 885
Fort Leonard Wood, MO 65473

Call (573) 596-1680 Map

Fax (573) 596-0423

Mailing address

191 Private Road 845
Teague, TX 75860-6081

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA02338 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1437140357

Gary Dale Nichols, P.A.-C's National Provider Identifier is 1437140357, issued on Oct 31, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Jul 13, 2026.