Individual
JOHN P GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13702 COURSEY BLVD, BUILDING 10 SUITE B, BATON ROUGE, LA 70817-1370
(225) 755-1400
(225) 755-1555
Mailing address
79563 ALBERT THOMPSON RD, FOLSOM, LA 70437-7539
(225) 755-1400
(225) 755-1555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.014641
LA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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