Individual
DR. GERALD A. HAMSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4775 JAMESTOWN DR, COLORADO SPRINGS, CO 80918-2725
(719) 574-7849
(719) 574-3776
Mailing address
P.O. BOX 25819, COLORADO SPRINGS, CO 80936-5819
(719) 574-7849
(719) 574-3776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17495
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014042929
RAILROAD MEDICARE
—
05
—
04007233
—
CO
Enumeration date
06/01/2005
Last updated
09/19/2011
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