Individual
GEORGE M GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 ROUTE 217, SUITE 1, LATROBE, PA 15650-3428
(724) 694-2723
(724) 694-8830
Mailing address
520 JEFFERSON AVE, SUITE 400, JEANNETTE, PA 15644-2538
(724) 527-8060
(724) 522-4002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD024099E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008660980004
—
PA
Enumeration date
01/03/2006
Last updated
11/13/2016
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