Organization
M ELIZABETH GERARD MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M ELIZABETH GERARD M.D. (OWNER)
(208) 233-8344
Entity
Organization
Contact information
Practice address
333 N 18TH AVE, STE B4, POCATELLO, ID 83201
(208) 232-2233
(208) 232-2299
Mailing address
333 N 18TH AVE, STE B4, POCATELLO, ID 83201
(208) 232-2233
(208) 232-2299
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M-7059
ID
Other
Enumeration date
02/02/2009
Last updated
06/08/2016
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