Individual
GARY PAUL ERDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
214 ELM ST, LONDON, OH 43140-2173
(740) 845-4100
Mailing address
214 ELM ST, LONDON, OH 43140-2173
(740) 845-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01040231
IN
207Q00000X
Family Medicine Physician
Primary
35049219
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072641
—
OH
05
—
100094310
—
IN
Enumeration date
11/28/2006
Last updated
02/01/2017
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