Alex Gavrilov

NPI #1548856560 in Columbus, Ohio

Provider Information

NPI Number: 1548856560
Entity Type: Individual
Name: Alex Gavrilov
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician/Technologist
Enumeration Date: Dec 14, 2020
Last Updated: Dec 14, 2020

Practice Location

Address: 1087 DENNISON AVE
City: Columbus
State: Ohio
ZIP Code: 43201-3201
Phone: (614) 484-9600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary

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