National Provider Identifier
Gregg L Shutts, PA
Gregg L Shutts, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 875-2904.
Profile Overview
- NPI
- 1356413314
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 14, 2006
- Last Updated
- April 22, 2013
Practice Location
- 155 Lawn Ave
- Buffalo, NY 14207-1816
Phone: (716) 875-2904
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1356413314
- Entity Type
- Individual
- Last Name
- Shutts
- First Name
- Gregg
- Middle Name
- L
- Name Prefix
- Mr.
- Credential
- PA
- Mailing Street Address
- 155 Lawn Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14207-1816
- Mailing Country
- US
- Mailing Phone
- (716) 875-2904
- Practice Street Address
- 155 Lawn Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14207-1816
- Practice Country
- US
- Practice Phone
- (716) 875-2904
- Enumeration Date
- November 14, 2006
- Last Updated
- April 22, 2013
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)