Individual provider · Type 1 NPI
Gary Fulkerson, P.A.
Physician Assistant · Prescott Valley, AZ
Practice location
3001 N Main St Ste 1C
Prescott Valley, AZ 86314-1215
Fax (928) 458-5979
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 103161-1206 (UT) |
| Medical Physician Assistant | 363AM0700X | PA1673 (NV) |
| Physician Assistant Primary | 363A00000X | 7347 (AZ) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1730165176
Gary Fulkerson, P.A.'s National Provider Identifier is 1730165176, issued on Dec 19, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Prescott Valley, AZ. The record was last updated on Mar 27, 2019.