Individual
GREGORY ALAN HAVEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 W WILLOW ST, WALLA WALLA, WA 99362-2922
(509) 525-3720
(509) 522-1592
Mailing address
320 W WILLOW ST, WALLA WALLA, WA 99362-2922
(509) 525-3720
(509) 522-1592
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD60388989
WA
Other
Enumeration date
07/25/2008
Last updated
08/13/2013
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