Ferguson, Gavin

Ferguson, Gavin is an individual health care provider with primary practice located at 1515 E Cedar Ave Ste 2B3B4E12 , Flagstaff AZ 86004-1600. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ferguson, Gavin can be contacted via phone (928) 714-0010.

Contact Information

Primary practice address
1515 E Cedar Ave Ste 2B3B4E12 Flagstaff AZ 86004-1600
Phone: (928) 714-0010
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 6948 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6948 Arizona

Profile Details

NPI number 1265943252
LBN Legal business name Ferguson, Gavin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2017
Last updated Sep 21st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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