Individual
EMILY S GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
909 SW ORALABOR RD, SUITE 100, ANKENY, IA 50023-7004
(515) 963-4400
(515) 963-4300
Mailing address
909 SW ORALABOR RD, SUITE 100, ANKENY, IA 50023-7004
(515) 963-4400
(515) 963-4300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31084
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141606
—
IA
05
—
1141606
—
IA
05
—
1629055546
—
IA
Enumeration date
12/30/2005
Last updated
05/17/2012
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