Individual provider · Type 1 NPI

Gary Anthony Serravo, PA-C

Medical Physician Assistant · Pueblo, CO

NPI number 1679922777 Active

Practice location

400 W 16th St
Pueblo, CO 81003-2745

Call (719) 584-4306 Map

Fax (719) 584-4861

Other practice locations

  • 2740 Fulton Ave Ste 220, Sacramento, CA 95821-5186 · (877) 782-8637

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA.0004647 (CO)
Medical Physician Assistant 363AM0700X25MP00842600 (NJ)
Medical Physician Assistant 363AM0700X65676 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1679922777

Gary Anthony Serravo, PA-C's National Provider Identifier is 1679922777, issued on Jun 9, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pueblo, CO. The record was last updated on May 18, 2026.