DR. Gary Jordan Havens, M.D.

NPI #1497763999 in Glendale, California

Provider Information

NPI Number
1497763999
Entity Type
Individual
Name
DR. Gary Jordan Havens, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
M.D.
Enumeration Date
Aug 3, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
607 N CENTRAL AVE
Address 2
SUITE #208
ZIP Code
91203-1804
Phone
(818) 551-6666

Specialties & Taxonomy Codes

Specialty
Specialist

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