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Individual

RICHARD GERSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
100 W MARKET ST, LOUISVILLE, KY 40202-1332
(502) 587-8488
(502) 584-9036
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6663
(210) 524-6587

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0910DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77009108
KY
Enumeration date
12/22/2006
Last updated
07/09/2007
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