Slethaug, Gavin Paul

Slethaug, Gavin Paul is an individual health care provider with primary practice located at 3501 N Scottsdale Rd Ste 130, Scottsdale AZ 85251-5648. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Slethaug, Gavin Paul can be contacted via phone (480) 425-5000.

Contact Information

Primary practice address
3501 N Scottsdale Rd Ste 130 Scottsdale AZ 85251-5648
Phone: (480) 425-5000
Fax: (480) 945-6548
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 27364 Arizona
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME161562 Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 27364 Arizona

Profile Details

NPI number 1558350512
LBN Legal business name Slethaug, Gavin Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Oct 3rd, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558350512 NPPES
Arizona MEDICAID 463521

Popular Providers