Organization
JERRY D AYERS MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY D AYERS MD (CEO)
(619) 683-9394
Entity
Organization
Contact information
Practice address
2800 3RD AVE, SAN DIEGO, CA 92103-6204
(619) 683-9394
(619) 683-9228
Mailing address
2800 3RD AVE, SAN DIEGO, CA 92103-6204
(619) 683-9394
(619) 683-9228
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
A42793
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7479140
—
CA
Enumeration date
12/01/2008
Last updated
04/24/2015
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