Individual
DR. MARY ELIZABETH GERARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 N 18TH AVE STE B4, POCATELLO, ID 83201
(208) 232-2233
(208) 232-2299
Mailing address
333 N 18TH AVE, STE B4, POCATELLO, ID 83201
(208) 232-2233
(208) 232-2299
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M7059
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010008867
BLUE SHIELD
ID
05
—
002119100
—
ID
01
—
70599
BLUE CROSS
ID
Enumeration date
09/11/2006
Last updated
06/08/2016
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