Organization
IRA B GERSHNER MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA BAIM GERSHNER M.D. (OWNER/PHYSICIAN)
(501) 228-6122
Entity
Organization
Contact information
Practice address
9501 LILE DR, SUITE 940, LITTLE ROCK, AR 72205-6225
(501) 228-6122
(501) 228-2240
Mailing address
9501 LILE DR, SUITE 940, LITTLE ROCK, AR 72205-6225
(501) 228-6122
(501) 228-2240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C4884
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152779002
—
AR
Enumeration date
09/09/2010
Last updated
09/09/2010
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