Dr. Gavin Guard, DMS, PA-C, MPAS
Physician Assistant, Medical in Meridian, ID. Individual provider (NPI-1).
NPI number1033735618
StatusActive
Last updated in NPPESJul 14, 2026
Details
- NPI
- 1033735618
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gavin Guard
- Credential
- DMS, PA-C, MPAS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2020
- Certification date
- Jul 14, 2026
- Last updated
- Jul 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA61076381 | WA | Yes |
Practice location
2939 W Excursion LnMeridian, ID 83642-5308
Phone 208-385-7711 · Fax 208-385-0346
Mailing address
2939 W Excursion LnMeridian, ID 83642-5308
Phone 208-385-7711 · Fax 208-385-0346
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