Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gavin Guard, DMS, PA-C, MPAS

Individual provider Medical Physician Assistant · NPI 1033735618

Dr. Gavin Guard, DMS, PA-C, MPAS is a Medical Physician Assistant in Meridian, Idaho. Licensed in Washington. Registered with an NPI since 2020.

Licensed in
WA
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2939 W Excursion Ln
Meridian, ID 83642-5308
Phone: (208) 385-7711
Fax: (208) 385-0346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA61076381 (WA)

Record details

NPI number1033735618
Entity typeIndividual (Type 1)
GenderMale
Credentials DMS , PA-C , MPAS
Sole proprietorNo
NPI enumeratedJune 19, 2020
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

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