Healthcare Provider Details

I. General information

NPI: 1871823443
Provider Name (Legal Business Name): DAVID E. GURVIS, DPM, INC., PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2010
Last Update Date: 01/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8244 E US HIGHWAY 36 SUITE 120
AVON IN
46123-9575
US

IV. Provider business mailing address

8244 E US HIGHWAY 36 SUITE 120
AVON IN
46123-9575
US

V. Phone/Fax

Practice location:
  • Phone: 317-272-0556
  • Fax: 317-272-7508
Mailing address:
  • Phone: 317-272-0556
  • Fax: 317-272-7508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number07000405A
License Number StateIN

VIII. Authorized Official

Name: DR. DAVID ELLIOTT GURVIS
Title or Position: PRESIDENT
Credential: D.P.M.
Phone: 317-272-0556