SHANE THOMAS GONNELLY

SPEARFISH, SD
NPI1275413189
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SD  1635)
Enumeration Date2025-09-03
Last Update Date2025-09-03
Business Address
-- SHANE THOMAS GONNELLY PA-C
2479 E COLORADO BLVD
SPEARFISH, SD 57783-3204
Phone number: 605-644-4460
Mailing Address
-- SHANE THOMAS GONNELLY PA-C
1003 21ST ST NE
WATERTOWN, SD 57201-6700
Phone number: