Individual provider · Type 1 NPI

Gary Fulkerson, P.A.

Physician Assistant · Prescott Valley, AZ

NPI number 1730165176 Active

Practice location

3001 N Main St Ste 1C
Prescott Valley, AZ 86314-1215

Fax (928) 458-5979

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X103161-1206 (UT)
Medical Physician Assistant 363AM0700XPA1673 (NV)
Physician Assistant Primary 363A00000X7347 (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.