Individual
DR. GERALD ELBERT MORTIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2095 HEATHER LN, AMMON, ID 83406-6705
(208) 529-2235
Mailing address
2095 HEATHER LN, AMMON, ID 83406-6705
(208) 529-2235
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M-3709
ID
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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