Organization
GAVIN J. ROBERTS, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAVIN J ROBERTS MD (OWNER)
(317) 817-1333
Entity
Organization
Contact information
Practice address
201 PENNSYLVANIA PKWY, INDIANAPOLIS, IN 46280-2301
(317) 817-1333
(317) 817-1331
Mailing address
PO BOX 68952, INDIANAPOLIS, IN 46268-0952
(317) 802-6310
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
10/24/2007
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