Individual
ERIC ALLAN GERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2635 N 7TH ST, GRAND JUNCTION, CO 81501-8209
(970) 241-9729
Mailing address
2530 N 8TH ST, SUITE 101, GRAND JUNCTION, CO 81501-8857
(970) 241-9729
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
9771
NV
2085R0202X
Diagnostic Radiology Physician
Primary
9771
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018549
—
NV
05
—
597552
—
AZ
Enumeration date
07/12/2005
Last updated
02/16/2010
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