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Individual

DR. GERRY L HASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
583 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5515
(812) 339-2446
(812) 330-9508
Mailing address
583 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5515
(812) 339-2446
(812) 330-9508

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000762A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100184980
IN
Enumeration date
11/14/2005
Last updated
12/15/2020
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