Individual
DR. JILL GERSPACH BYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL DOCTOR
Contact information
Practice address
320 SUPERIOR AVE STE 110, NEWPORT BEACH, CA 92663-2740
(949) 515-3777
(949) 480-3404
Mailing address
320 SUPERIOR AVE STE 110, NEWPORT BEACH, CA 92663-2740
(949) 515-3777
(949) 480-3404
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G74895
CA
208800000X
Urology Physician
M-17072
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G74895
MEDICAL BOARD LICENSE
CA
Enumeration date
06/08/2006
Last updated
09/27/2023
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