Healthcare Provider Details

I. General information

NPI: 1083797906
Provider Name (Legal Business Name): GREGORY HANS SAYERS P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: GREGORY HANS SAYERS PA-C

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N OAK ST
TOWNSEND MT
59644-2306
US

IV. Provider business mailing address

6275 SPROULE CREEK ROAD
NELSON BRITISH COLUMBIA
V1L6Y1
CA

V. Phone/Fax

Practice location:
  • Phone: 406-266-3189
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2179
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number35099
License Number StateMT
# 3
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number2014
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: