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Individual

RICHARD J GERHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1705 N GOVERNMENT WAY, COEUR D ALENE, ID 83814-3444
(208) 765-8585
(208) 765-8486
Mailing address
3043 N RAMPART RD, COEUR D ALENE, ID 83814-7852
(208) 765-4777

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA22
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004368400
ID
Enumeration date
04/08/2006
Last updated
09/28/2010
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