Individual
DR. GERARDO ISMAEL GACER GUECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
(573) 426-2108
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P25154
MD
208M00000X
Hospitalist Physician
Primary
2013008902
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000015401
MEDCIARE
MO
05
—
1417289463
—
MO
05
—
507013605
—
MO
Enumeration date
02/02/2010
Last updated
02/06/2025
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