DR. Gavin Jay Widom, DC

NPI #1699866335 in Naples, Florida

Provider Information

NPI Number: 1699866335
Entity Type: Individual
Name: DR. Gavin Jay Widom, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Sep 27, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 1400 GOODLETTE RD N
City: Naples
State: Florida
ZIP Code: 34102-5258
Phone: (239) 263-3332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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