Individual
ROBERT N GAVLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 S PARK AVENUE, SUITE 3-5, TUCSON, AZ 85714
(615) 778-4066
Mailing address
5080 SPECTRUM DRIVE, SUITE 1200 WEST TOWER, ADDISON, TX 75001
(800) 232-3550
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
13554
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282137
—
AZ
05
—
300205
—
AZ
Enumeration date
03/20/2007
Last updated
01/08/2010
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