Individual
BENJAMIN RAY GERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 E BROADWAY STE 240, COLUMBIA, MO 65201-8022
(573) 815-8145
(573) 815-3832
Mailing address
1601 E BROADWAY STE 240, COLUMBIA, MO 65201-8022
(573) 815-8145
(573) 815-3832
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036.140694
IL
208600000X
Surgery Physician
Primary
2022034845
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2011
Last updated
09/20/2022
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