Provider Demographics
NPI:1508925926
Name:ROBERT, CAVETT M JR (MD, FACS)
Entity Type:Individual
Prefix:DR
First Name:CAVETT
Middle Name:M
Last Name:ROBERT
Suffix:JR
Gender:M
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3959 CANYON RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-2701
Mailing Address - Country:US
Mailing Address - Phone:925-283-8749
Mailing Address - Fax:
Practice Address - Street 1:3959 CANYON RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-2701
Practice Address - Country:US
Practice Address - Phone:925-283-8749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGFE14264207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery