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Individual

SARAH G. GERRISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
708 E WYTHE CREEK CT STE 103, KUNA, ID 83634-5005
(208) 922-5130
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-11292
ID
207Q00000X
Family Medicine Physician
MR-1052
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1982832176
ID
Enumeration date
06/25/2009
Last updated
03/17/2018
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