| Doctor Name: | MR. GARY WILSON BARSUASKAS |
| NPI Number: | 1194089805 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | 582770/12889 |
| Business Practice Address: | 4677 Valley West Blvd. Arcata, CA - 95521 |
| Business Phone Number: | 7078225244 |
| Business Fax Number: | 7078225442 |
| Mailing Address: | Po Box 362, CUTTEN |
| State: | CA |
| Postal Code: | 95534 |
| Phone Number: | 7076169086 |
| Fax Number: | 7078225442 |
| NPI Enumeration Date: | 06/27/2012 |
| NPI Last Update Date: | 07/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0106X |
| License Number: | 582770/12889 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Occupational Health |
| Taxonomy Definition: | |