MICHAEL J CAVANAUGH

FORT DEFIANCE, AZ
NPI1912396144
Professional NameMICHAEL CAVANAUGH
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CO  PA.0004654)
Additional Taxonomies363A00000X Physician Assistant
(Licence: MN  11810)
Enumeration Date2015-01-12
Last Update Date2026-03-20
Business Address
MICHAEL J CAVANAUGH
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8000
Mailing Address
MICHAEL J CAVANAUGH
PO BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-8000