Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | R8244 | MO |
N | 207VG0400X | Gynecologist | R8244 | MO |
N | 207VX0000X | Obstetrician | R8244 | MO |
NPI | 1225069719 |
---|---|
Provider Name | William R Gerber |
First Address | Saint Louis, MO 63110-2515 |
Second Address | Saint Louis, MO 63117-1818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A10525 | (02) | MO |