Thomas J Gerke Md Inc

NPI 1265585061 - General Practice - 208D00000X

NPI Details
NPI 1265585061
Enumeration Date 01/18/2007
Last Updated 09/16/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LEO LEO
Position OFFICE MANAGER
Phone (323) 262-0599
Fax (323) 262-0699
Practice Location
4055 E OLYMPIC BLVD
SUITE 207
LOS ANGELES CA, 90023-3329, US
Phone (323) 262-0599
Fax (323) 262-0699
Business Location
4055 E OLYMPIC BLVD
SUITE 207
LOS ANGELES CA, 90023-3329, US
Phone (323) 262-0599
Fax (323) 262-0699
Toxanomy
Taxonomy Code 208D00000X
License State California
License Number G59290
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According to our database, Thomas J Gerke Md Inc NPI is 1265585061, taxonomy code is 208D00000X and license number is G59290, license state is located at California. Thomas J Gerke Md Inc physically located at 4055 E Olympic Blvd, Los Angeles CA, 90023-3329. NPI Number 1033115704 has the healthcare provider type.

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1265585061 NPI number is provided on an as is basis without warranty of any kind. 1265585061 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas J Gerke Md Inc are for informational purposes only.