Individual
ALAN LEE GAVECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9721 E CELTIC DR, SCOTTSDALE, AZ 85260
(480) 860-8787
(480) 767-8140
Mailing address
9721 E CELTIC DR, SCOTTSDALE, AZ 85260
(480) 860-8787
(480) 767-8140
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0424
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160341
—
AZ
01
—
4421843
AETNA
AZ
01
—
AZ0191520
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
10/03/2006
Last updated
07/09/2007
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