Individual
DR. GERALD WAYNE SURRETT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 COCHRANE CIR, TMC 10, FORT CARSON, CO 80913-4603
(719) 524-2207
Mailing address
7548 AMBERLY DR, COLORADO SPRINGS, CO 80923-4156
(719) 432-6497
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
055897
GA
Other
Enumeration date
07/09/2006
Last updated
02/20/2012
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