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Individual

PHILLIP LEON GERSTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55958 COOK ALLEN LN, FOX, OR 97856-7024
(541) 421-3883
Mailing address
55958 COOK ALLEN LN, FOX, OR 97856-7024
(541) 421-3883

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD07551
OR

Other

Enumeration date
08/17/2024
Last updated
08/17/2024
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