Individual
MYRON CRAIG GERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 PIEDMONT AVE, STE 6000, CINCINNATI, OH 45219-4231
(513) 475-8521
(513) 475-7327
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 245-3104
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-043613
OH
207RC0000X
Cardiovascular Disease Physician
Primary
35-043613
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0402264
—
OH
01
—
110128782
RAIL ROAD MEDICARE
OH
05
—
200036130
—
IN
05
—
64764202
—
KY
Enumeration date
04/21/2006
Last updated
06/21/2017
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