Individual provider · Type 1 NPI

Michael J. Cavanaugh

Physician Assistant · Fort Defiance, AZ

NPI number 1912396144 Active

Practice location

Corner Of Route N12 And N7
Fort Defiance, AZ 86504

Call (928) 729-8000 Map

Mailing address

PO Box 649
Fort Defiance, AZ 86504-0649

Other practice locations

  • 1010 Three Springs Blvd, Durango, CO 81301-8296 · (970) 247-4311
  • 1311 N Mildred Rd, Cortez, CO 81321-2231 · (970) 565-6666

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA.0004654 (CO)
Physician Assistant 363A00000X11810 (MN)

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 1912396144

Michael J. Cavanaugh's National Provider Identifier is 1912396144, issued on Jan 12, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Defiance, AZ. The record was last updated on Mar 20, 2026.