Gary T Brotherson Md Inc

NPI 1497788087 - Ophthalmology - 207W00000X

NPI Details
NPI 1497788087
Enumeration Date 07/08/2006
Last Updated 01/21/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LORI LORI
Position BILLING ADMIN.
Phone (814) 455-8004
Fax (814) 456-6054
Practice Location
1801 W 8TH ST
ERIE PA, 16505-4938, US
Phone (814) 455-8004
Fax (814) 456-6054
Business Location
1801 W 8TH ST
ERIE PA, 16505-4938, US
Phone (814) 455-8004
Fax (814) 456-6054
Toxanomy
Taxonomy Code 207W00000X
License State Pennsylvania
License Number OS010267L
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According to our database, Gary T Brotherson Md Inc NPI is 1497788087, taxonomy code is 207W00000X and license number is OS010267L, license state is located at Pennsylvania. Gary T Brotherson Md Inc physically located at 1801 W 8th St, Erie PA, 16505-4938. NPI Number 1033115704 has the healthcare provider type.

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1497788087 NPI number is provided on an as is basis without warranty of any kind. 1497788087 is maintained by the National Plan & Provider Enumeration System. The contents of Gary T Brotherson Md Inc are for informational purposes only.