Gavlak, Robert N

Gavlak, Robert N is an individual health care provider with primary practice located at 4600 S Park Avenue Suite 3-5, Tucson AZ 85714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Gavlak, Robert N can be contacted via phone (615) 778-4066.

Contact Information

Primary practice address
4600 S Park Avenue Suite 3-5 Tucson AZ 85714
Phone: (615) 778-4066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 13554 Arizona

Profile Details

NPI number 1881719615
LBN Legal business name Gavlak, Robert N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jan 8th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881719615 NPPES
Arizona MEDICAID 282137
Arizona MEDICAID 300205

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