Individual
DR. GERARDO M. PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E IDAHO ST, BOISE, ID 83712-6223
(208) 381-4171
(208) 381-4172
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
M9302
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807235500
—
ID
Enumeration date
07/27/2006
Last updated
10/26/2017
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