Gerald A Dysert, MD | |
23 Willow Dr, Auxier, KY 41602-9259 | |
(606) 886-8997 | |
(606) 886-1021 |
Full Name | Gerald A Dysert |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 23 Willow Dr, Auxier, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952408346 | NPI | - | NPPES |
000000044263 | Other | BCBS PROVIDER NUMBER | |
34177 | Other | KY | LICENSE |
64341779 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 34177 (Kentucky) | Primary |
Mailing Address | Practice Location Address |
---|---|
Gerald A Dysert, MD 1709 Ky Route 321, Suite 3, Prestonsburg, KY 41653-9097 Ph: (606) 886-8546 | Gerald A Dysert, MD 23 Willow Dr, Auxier, KY 41602-9259 Ph: (606) 886-8997 |
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