Individual
DR. THOMAS J GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8305
(614) 262-4042
Mailing address
700 ACKERMAN RD, SUITE 540, COLUMBUS, OH 43202-1559
(614) 255-7750
(614) 262-4042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35062339
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0863561
—
OH
Enumeration date
10/16/2006
Last updated
07/08/2007
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