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Individual

JEFFREY TODD GERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
79-1019 HAUKAPILA ST, EMERGENCY DEPARTMENT, KEALAKEKUA, HI 96750-7920
(808) 322-4413
Mailing address
79-1019 HAUKAPILA ST, EMERGENCY DEPARTMENT, KEALAKEKUA, HI 96750-7920
(808) 322-4413

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D69032
MD
207P00000X
Emergency Medicine Physician
Primary
MD - 16402
HI

Other

Enumeration date
02/20/2007
Last updated
04/16/2012
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