Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gary Dale Nichols, PA-C

Individual provider Physician Assistant · NPI 1437140357

Mr. Gary Dale Nichols, PA-C is a Physician Assistant in Fort Leonard Wood, Missouri. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

16TH Street Ctmc Bldg 885
Fort Leonard Wood, MO 65473
Phone: (573) 596-1680
Fax: (573) 596-0423
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA02338 (TX)

Record details

NPI number1437140357
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 31, 2005
Last updated in NPPESJuly 13, 2026

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