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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY FULKERSON, P.A.

Active

GARY FULKERSON, P.A. is a Physician Assistant healthcare provider located in PRESCOTT VALLEY, Arizona. NPI 1730165176 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PRESCOTT VALLEY, AZ

Registration Details

NPI Number
1730165176
Provider Type
Individual
Gender
Male
NPI Issued
Dec 19, 2005 (20.613772528146 yrs)
Last Updated
Mar 27, 2019
Licenses
103161-1206 (UT)
PA1673 (NV)
7347 (AZ)

Practice Information

Address
3001 N MAIN ST STE 1C
PRESCOTT VALLEY, AZ, 863141215
Browse AZ providers · Browse ZIP 86314
Phone
9284585470
Fax
9284585979
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in PRESCOTT VALLEY, AZ

Name Credential NPI
MR. TIMOTHY J MEIER PA-C 1720015118
JAMIE MARIE PEARSON PA-C 1700960325
ROYCE LEE HEFFINGTON JR. PA-C 1306014626
JENNIFER MARIE ALMENDAREZ PA-C 1457589061
JULIA MYERS PA 1700256799
MRS. KARA REGEHR PA-C 1861863334
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.