Individual
DR. JAN E GAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2002 FOULK RD, SUITE D, WILMINGTON, DE 19810-3643
(302) 334-0330
(302) 334-0329
Mailing address
640 S. STATE STREET, MAIL CODE 3055, DOVER, DE 19901-3530
(302) 480-1688
(302) 480-9807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C2-0011612
DE
Other
Enumeration date
12/12/2006
Last updated
03/05/2021
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