Provider Demographics
NPI:1326302563
Name:PAVALONIS, ALBERT GORDON (DO)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:GORDON
Last Name:PAVALONIS
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1735 CALAIS TRAIL
Mailing Address - Street 2:
Mailing Address - City:POWHATAN
Mailing Address - State:VA
Mailing Address - Zip Code:23139-4523
Mailing Address - Country:US
Mailing Address - Phone:540-588-0521
Mailing Address - Fax:
Practice Address - Street 1:2410 ATHERHOLT RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2148
Practice Address - Country:US
Practice Address - Phone:434-200-5299
Practice Address - Fax:434-200-2386
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2022-11-09
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Provider Licenses
StateLicense IDTaxonomies
VA01022055432086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery