Organization
ERIC A. GERSON, MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC A GERSON MD (PRESIDENT)
(702) 897-2081
Entity
Organization
Contact information
Practice address
1409 E LAKE MEAD BLVD, IMAGING DEPARTMENT, N LAS VEGAS, NV 89030-7120
(702) 657-5507
(702) 649-3480
Mailing address
DEPT 8191, LOS ANGELES, CA 90084-0001
(888) 727-1075
(702) 990-4947
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100512276
—
NV
01
—
DE7931
RAILROAD MEDICARE
NV
01
—
V102219
MEDICARE LEGACY
NV
Enumeration date
05/08/2006
Last updated
02/12/2009
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