Gavin Ferguson, PA-C

NPI #1265943252 in Flagstaff, Arizona

Provider Information

NPI Number: 1265943252
Entity Type: Individual
Name: Gavin Ferguson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 17, 2017
Last Updated: Sep 21, 2023

Practice Location

Address: 1515 E CEDAR AVE STE 2B3B4E12
City: Flagstaff
State: Arizona
ZIP Code: 86004-1600
Phone: (928) 714-0010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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