Mr. MARK RYAN GAUVIN MS, MSPAS, RD, PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1801332507- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MS, MSPAS, RD, PA-C
- Status
- Active
Contact & Location
- Address
- 593 EDDY ST, PROVIDENCE, RI, 029034923
- Phone
- (401) 444-4000
Specialties & Taxonomies
Physician Assistant
Primary License: RI #PA01375
Dietitian, Registered
License: RI #LDN00892