Organization
ROBERT S. GERSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT S GERSON MD (OWNER)
(480) 276-2667
Entity
Organization
Contact information
Practice address
7130 E SADDLEBACK ST, #16, MESA, AZ 85207-1038
(480) 361-4283
Mailing address
2931 N TENAYA WAY, SUITE 102, LAS VEGAS, NV 89128-0456
(800) 482-2857
(702) 387-8763
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30542
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
726903
—
AZ
Enumeration date
10/15/2007
Last updated
02/04/2008
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