Individual
GRANT D GERHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8300 W CHEYENNE AVE STE 105, LAS VEGAS, NV 89129-2177
(702) 656-0911
Mailing address
8300 W CHEYENNE AVE STE 105, LAS VEGAS, NV 89129-2177
(614) 302-1573
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO2782
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2018
Last updated
10/21/2020
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