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Individual

SCOTT A. GERARDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2000 BOISE AVE, LOVELAND, CO 80538-5006
(970) 669-4640
Mailing address
2204 HOFFMAN DR, STE A, LOVELAND, CO 80538
(970) 667-9794
(970) 663-6336

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
102713
CO
367500000X
Certified Registered Nurse Anesthetist
2002000772
MO
367500000X
Certified Registered Nurse Anesthetist
55040
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100417600A
KS
05
86505530
CO
05
915798102
MO
Enumeration date
12/08/2005
Last updated
01/10/2012
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