| Doctor Name: | CHRISTOPHER GAVALDON |
| NPI Number: | 1447345624 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA2003-0014 |
| Business Practice Address: | Presbyterian Heart Group (phg) 201 Cedar Se Suite 7600 Albuquerque, NM - 87106 |
| Business Phone Number: | 5055632500 |
| Business Fax Number: | 5055632603 |
| Mailing Address: | Po Box 26666, Phs Provider Enrollment ALBUQUERQUE |
| State: | NM |
| Postal Code: | 871256666 |
| Phone Number: | 5059235356 |
| Fax Number: | 5059235354 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 08/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | PA2003-0014 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |