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
ZIP Code
98531-9027
Phone
(360) 736-2803

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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