IndividualActive
Gary West, PA
NPI 1417902545 · Medical Physician Assistant · Wayne, NE
Provider details
- NPI number
- 1417902545
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 56 (NE)
Practice location
615 E 14th St
Wayne, NE 68787-1152
Phone: (402) 375-2500
Fax: (402) 375-2463
Mailing address
Po Box 328
Sioux City, IA 51102-0328
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2007-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.