NPI 1124048822 · live from the CMS NPI Registry
David Stephen Gawlik, PA-C, MS
Physician Assistant, Surgical in Colchester, VT. National Provider Identifier 1124048822, active.
NPI record
| NPI | 1124048822 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 354 Mountain View Dr, Suite 300, Colchester, VT 05446 |
| Practice phone | 802-864-0192 |
| Enumerated | July 19, 2006 |
| Last updated | September 8, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical primary | 363AS0400X | 0550030787 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.