Individual
ROMAN R GAVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7211 W DESCHUTES AVE, KENNEWICK, WA 99336-7728
(509) 737-1880
(509) 737-1879
Mailing address
7211 W DESCHUTES AVE, SUITE E, KENNEWICK, WA 99336-7728
(509) 735-9239
(509) 735-9310
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
052175
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000975939A
—
GA
05
—
000975939B
—
GA
05
—
1922075597
—
WA
Enumeration date
03/02/2006
Last updated
12/08/2011
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