Dr. Gabriel Zevallos, MD
Internal Medicine in McComb, MS. Individual provider (NPI-1).
NPI number1013965599
StatusActive
Last updated in NPPESMar 2, 2015
Details
- NPI
- 1013965599
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gabriel Zevallos
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2006
- Last updated
- Mar 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 19002 | MS | Yes |
Practice location
215 Marion AveMcComb, MS 39648-2705
Phone 601-249-5500 · Fax 601-249-1173
Mailing address
Po Box 490McComb, MS 39649-0490
Phone 601-249-2701 · Fax 601-249-2195
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