Individual
MICHAEL W GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87106-4713
(505) 272-4755
(505) 272-6839
Mailing address
1001 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87106-4713
(505) 272-4755
(505) 272-6839
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
93-60
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4456
—
NM
Enumeration date
07/11/2006
Last updated
06/07/2012
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