Gary Lynn Cavanaugh, MD
Psychiatry & Neurology, Psychiatry in Stockton, CA. Individual provider (NPI-1).
NPI number1619087038
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619087038
- Entity type
- Individual (NPI-1)
- Name
- Gary Lynn Cavanaugh
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | C34330 | CA | Yes |
Other names
- Gary L Cavanaugh (Professional Name)
Practice location
2522 Grand Canal Blvd#1
Stockton, CA 95207-8213
Phone 209-951-4666 · Fax 209-951-5829
Mailing address
2522 Grand Canal Blvd#1
Stockton, CA 95207-8213
Phone 209-951-4666 · Fax 209-951-5829
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