Individual
GAVIN GUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
376 NO 2 SCHOOLHOUSE RD, FRIDAY HARBOR, WA 98250
(360) 622-6150
Mailing address
376 NO 2 SCHOOLHOUSE RD, FRIDAY HARBOR, WA 98250
(360) 622-6150
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA61076381
WA
Other
Enumeration date
06/19/2020
Last updated
02/25/2022
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