Individual
DR. GAVIN M DRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13114 120TH AVE NE, KIRKLAND, WA 98034-3014
(425) 821-6000
(425) 820-6288
Mailing address
13114 120TH AVE NE, KIRKLAND, WA 98034-3014
(425) 821-6000
(425) 820-6288
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD00035648
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1112622
—
WA
01
—
151770
L&I
WA
01
—
3230
REGENCE BLUE SHIELD
WA
Enumeration date
02/09/2006
Last updated
07/08/2007
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