Individual
GAVIN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
702 BARNHILL DR, INDIANAPOLIS, IN 46202-5128
(317) 274-8103
(317) 274-1111
Mailing address
550 UNIVERSITY BLVD, SUITE 3080, INDIANAPOLIS, IN 46202-5149
(317) 274-1034
(317) 274-3265
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01043662A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200112290
—
IN
Enumeration date
08/12/2005
Last updated
05/06/2008
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