Individual provider · Type 1 NPI

Juan Fulgencio Mercado Guzman, PA-C

Medical Physician Assistant · Tinker Afb, OK

NPI number 1407204829 Active

Practice location

7050 Air Depot Blvd
Tinker Afb, OK 73145-8716

Other practice locations

  • 18th Medical Group, Unit 5142, Apo, AP 96368 · (315) 630-4780
  • 96 Mdss/sgne, 307 Boatner Rd, Eglin Afb, FL 32542 · (850) 883-8448

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1407204829

Juan Fulgencio Mercado Guzman, PA-C's National Provider Identifier is 1407204829, issued on May 26, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tinker Afb, OK. The record was last updated on Aug 1, 2025.