Gerald Bossert, PA

NPI #1700885308 in Payson, Arizona

Provider Information

NPI Number: 1700885308
Entity Type: Individual
Name: Gerald Bossert, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: PA
Enumeration Date: Jul 18, 2005
Last Updated: Sep 27, 2007

Practice Location

Address: 126 E MAIN ST
Address 2: SUITE D
City: Payson
State: Arizona
ZIP Code: 85541-5488
Phone: (928) 472-5260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Physician Assistant	363A00000X

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