Individual
MR. BRIAN T PAVLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1225 E MINERAL RD, GILBERT, AZ 85234-4461
(917) 301-4953
Mailing address
1225 E MINERAL RD, GILBERT, AZ 85234-4461
(917) 301-4953
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1972023
WI
363A00000X
Physician Assistant
Primary
4384
AZ
Other
Enumeration date
08/13/2007
Last updated
08/27/2014
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