JACK ANAVIAN

PROVIDENCE, RI
NPI1427286608
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: RI  14549)
Enumeration Date2009-06-26
Last Update Date2021-10-28
Business Address
JACK ANAVIAN M.D.
2 DUDLEY ST SUITE 200
PROVIDENCE, RI 02905-3236
Phone number: 401-444-3581
Mailing Address
JACK ANAVIAN M.D.
2943 HIGHWAY 77
PANAMA CITY, FL 32405-4411
Phone number: 850-914-7060