MR. Michael Gavin Deguzman, PA-C
NPI #1235202144 in Moreno Valley, California
Provider Information
- NPI Number
- 1235202144
- Entity Type
- Individual
- Name
- MR. Michael Gavin Deguzman, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Nov 16, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 12712 HEACOCK ST STE 3
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92553-3037
- Phone
- (951) 601-6802
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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