Individual
DR. GERALD A PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5659 PARKWAY DR, STE 100, GLOUCESTER, VA 23061-3792
(804) 210-1005
(804) 210-1009
Mailing address
5659 PARKWAY DR, STE 100, GLOUCESTER, VA 23061-3792
(804) 210-1005
(804) 210-1009
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101031360
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010046793
—
VA
Enumeration date
03/20/2006
Last updated
12/05/2013
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