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Individual

DR. ROBERT LOUIS GAVIOLI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
312 GRAMMONT ST, SUITE 200, MONROE, LA 71201-7457
(318) 323-8451
Mailing address
312 GRAMMONT ST, SUITE 200, MONROE, LA 71201-7457
(318) 323-8451

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD.014120
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1313416
LA
Enumeration date
12/14/2005
Last updated
07/08/2007
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