Individual
PAUL A GERLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2985 CORTEZ AVE, IDAHO FALLS, ID 83404-7554
(208) 523-3373
(208) 523-8746
Mailing address
2985 CORTEZ AVE, IDAHO FALLS, ID 83404-7554
(208) 523-3373
(208) 523-8746
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD14220
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD14220
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215025648
NPI
—
Enumeration date
10/11/2006
Last updated
02/14/2013
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