Gurney, Michael

Gurney, Michael is an individual health care provider with primary practice located at 2187 N Vickey St , Flagstaff AZ 86004-6106. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Gurney, Michael can be contacted via phone (928) 714-6409.

Contact Information

Primary practice address
2187 N Vickey St Flagstaff AZ 86004-6106
Phone: (928) 714-6409
Fax: (928) 714-6480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X PA2576 Arizona

Profile Details

NPI number 1962492942
LBN Legal business name Gurney, Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jul 8th, 2007 - about 17 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1962492942 NPPES
Arizona MEDICAID 623414

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