Individual
GARRETT ALAN COUCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1630 E HERNDON AVE, FRESNO, CA 93720-3391
(559) 256-5200
Mailing address
100 FOWLER AVE APT 239, CLOVIS, CA 93611-0686
(559) 593-2806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61129
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/22/2022
Last updated
08/02/2022
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