Individual provider · Type 1 NPI

Gavin Blair Gore

Diagnostic Radiology Physician · Leesburg, VA

NPI number 1316189608 Active

Practice location

19500 Sandridge Way, Suite 420
Leesburg, VA 20176-3467

Call (571) 375-8601 Map

Fax (571) 223-6773

Mailing address

224-D Cornwall Street, NW, Suite 403
Leesburg, VA 20176-2704

Other practice locations

  • 1 Medical Center Boulevard, Winston-Salem, NC 27103-2705 · (336) 716-6388

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X2013-02510 (NC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202X0101258174 (VA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1316189608

Gavin Blair Gore's National Provider Identifier is 1316189608, issued on Apr 1, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Leesburg, VA. The record was last updated on Nov 29, 2022.