Individual
BRET GERSTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1601 E BROADWAY STE 240, COLUMBIA, MO 65201-8022
(573) 815-8145
(573) 815-3832
Mailing address
1601 E BROADWAY STE 240, COLUMBIA, MO 65201-8022
(573) 815-8145
(573) 815-3832
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2019
Last updated
06/28/2023
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