Individual
GREGORY DALE GERBOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 PROVIDENCE DR STE B208, ANCHORAGE, AK 99508
(907) 212-4090
(907) 212-4091
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
3128
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009229
—
AK
Enumeration date
11/17/2005
Last updated
09/23/2020
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