Individual
DR. JEREMY JOHN GEBHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11277 VERNON PL STE 200, MEADVILLE, PA 16335-3719
(814) 724-1252
(814) 333-8871
Mailing address
11277 VERNON PL STE 200, MEADVILLE, PA 16335-3719
(814) 724-1252
(814) 333-8871
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2018004574
MO
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD466938
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103644793
—
PA
Enumeration date
04/25/2013
Last updated
10/10/2019
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