Individual
DR. GERSON AIREL TERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4925 CINDY LEE CV, CONWAY, AR 72034-7496
(501) 697-5228
Mailing address
4925 CINDY LEE CV, CONWAY, AR 72034-7496
(501) 697-5228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46128
TN
Other
Enumeration date
11/05/2007
Last updated
09/14/2011
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