GARY FULKERSON, P.A.

Physician Assistant

Active Individual
NPI: 1730165176

Practice Address

3001 N MAIN ST STE 1C
Prescott Valley, AZ 86314

Phone: (928) 458-5470

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X No PA1673 (NV)
Physician Assistant 363A00000X Yes 7347 (AZ)

Frequently Asked Questions

NPI 1730165176 is the National Provider Identifier for GARY FULKERSON, P.A., a Physician Assistant provider located in Prescott Valley, AZ. This NPI was enumerated on December 19, 2005.
GARY FULKERSON, P.A. practices at 3001 N MAIN ST STE 1C, Prescott Valley, AZ 86314.

Quick Facts

NPI
1730165176
Type
Individual
Enumerated
Dec 19, 2005
Last Updated
Mar 27, 2019

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