GAVIN KOLODGE

SAN DIEGO, CA
NPI1407210537
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: CA  20A18281)
Enumeration Date2016-04-05
Last Update Date2021-09-21
Business Address
GAVIN KOLODGE
9339 GENESEE AVE STE 150
SAN DIEGO, CA 92121-2144
Phone number: 858-357-9477
Mailing Address
GAVIN KOLODGE
4445 EASTGATE MALL STE 105
SAN DIEGO, CA 92121-1979
Phone number: 858-357-9450
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