Doctor Name: | ERIC ALLAN GERSON |
NPI Number: | 1528066792 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 9771 |
Business Practice Address: | 2635 N 7th St Grand Junction, CO - 815018209 |
Business Phone Number: | 9702419729 |
Business Fax Number: | |
Mailing Address: | 2530 N 8th St, Suite 101 GRAND JUNCTION |
State: | CO |
Postal Code: | 815018857 |
Phone Number: | 9702419729 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2005 |
NPI Last Update Date: | 02/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 9771 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |