Theodore Russell Gavel, CRNA
NPI #1134448996 in Centralia, Washington
Provider Information
- NPI Number
- 1134448996
- Entity Type
- Individual
- Name
- Theodore Russell Gavel, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- May 19, 2010
- Last Updated
- May 21, 2014
Practice Location
- Address
- 914 S SCHEUBER RD
- Address 2
- PMG SW WA CENTRALIA ANESTHESIOLOGY
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-9027
- Phone
- (360) 736-2803
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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