Ira B Gershner Md Pllc | |
9501 Lile Dr Suite 940 Little Rock AR 72205-6225 | |
(501) 228-6122 | |
(501) 228-2240 |
Full Name | Ira B Gershner Md Pllc |
---|---|
Speciality | Internal Medicine |
Location | 9501 Lile Dr, Little Rock, Arkansas |
Authorized Official Name and Position | Ira Baim Gershner (OWNER/PHYSICIAN) |
Authorized Official Contact | 5012286122 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ira B Gershner Md Pllc 9501 Lile Dr Suite 940 Little Rock AR 72205-6225 Ph: (501) 228-6122 | Ira B Gershner Md Pllc 9501 Lile Dr Suite 940 Little Rock AR 72205-6225 Ph: (501) 228-6122 |
NPI Number | 1558678755 |
---|---|
Provider Enumeration Date | 09/09/2010 |
Last Update Date | 09/09/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558678755 | NPI | - | NPPES |
152779002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C4884 (Arkansas) | Primary |
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