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Organization

GAVIN D CHARTIER LLC

Active
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Organization

GAVIN D CHARTIER LLC

Active
Other names
Willow Creek Pain Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GAVIN DOUGLAS CHARTIER MD (OWNDER/CEO)
(812) 886-1151
Entity
Organization

Contact information

Practice address
328 N 2ND ST, SUITE 308, VINCENNES, IN 47591-1351
(812) 886-1151
(812) 886-5330
Mailing address
328 N 2ND ST, SUITE 308, VINCENNES, IN 47591-1351
(812) 886-1151
(812) 886-5330

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
01041179
IN

Other

Enumeration date
10/04/2006
Last updated
05/19/2015
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