Individual
MR. GERRY F FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 SUNSET DR STE F, LA GRANDE, OR 97850
(541) 663-3100
(541) 975-5135
Mailing address
PO BOX 3290, LA GRANDE, OR 97850-7290
(541) 963-1967
(541) 963-1837
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
28198
IA
207Y00000X
Otolaryngology Physician
Primary
MD167147
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073114
—
IA
01
—
04045
WELLMARK BCBS
IA
Enumeration date
10/28/2005
Last updated
07/24/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us