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

Gavin Ferguson, PA-C

Individual provider Medical Physician Assistant · NPI 1265943252

Gavin Ferguson, PA-C is a Medical Physician Assistant in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
Specialties on file
2
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

1515 E Cedar Ave Ste 2B3B4E12
Flagstaff, AZ 86004-1600
Phone: (928) 714-0010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6948 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 6948 (AZ)

Record details

NPI number1265943252
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 17, 2017
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023
Mailing address3331 S Gillenwater Dr, Flagstaff, AZ 86005-8983

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