Gavelyn Poonnopatam, DO

NPI #1962021378 in Sierra Vista, Arizona

Provider Information

NPI Number: 1962021378
Entity Type: Individual
Name: Gavelyn Poonnopatam, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Apr 15, 2020
Last Updated: Aug 11, 2023

Practice Location

Address: 155 CALLE PORTAL
City: Sierra Vista
State: Arizona
ZIP Code: 85635-2900
Phone: (520) 364-1429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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