BLAED JACOB GERHART

FPO, AP
NPI1437593209
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA055993)
Enumeration Date2013-04-24
Last Update Date2013-04-24
Business Address
-- BLAED JACOB GERHART PA-C
1 FARENHOLT ST BLDG K-1
FPO, AP 96538
Phone number: 671-344-9679
Mailing Address
-- BLAED JACOB GERHART PA-C
PSE 490 P.O. BOX 9095
FPO, AP 96538
Phone number: 671-344-9679