Individual provider · Type 1 NPI

Gavin Guard, DMS, PA-C, MPAS

Medical Physician Assistant · Meridian, ID

NPI number 1033735618 Active

Practice location

2939 W Excursion Ln
Meridian, ID 83642-5308

Call (208) 385-7711 Map

Fax (208) 385-0346

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA61076381 (WA)

Medical Physician Assistant: Definition to come...

12 other providers at this address

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About NPI 1033735618

Gavin Guard, DMS, PA-C, MPAS's National Provider Identifier is 1033735618, issued on Jun 19, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Meridian, ID. The record was last updated on Jul 14, 2026.