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1841223211
GERALD WAYNE SURRETT
FORT CARSON, CO
NPI
1841223211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 055897)
Enumeration Date
2006-07-09
Last Update Date
2012-02-20
Business Address
Dr. GERALD WAYNE SURRETT M.D.
1650 COCHRANE CIR TMC 10
FORT CARSON, CO 80913-4603
Phone number: 719-524-2207
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Mailing Address
Dr. GERALD WAYNE SURRETT M.D.
7548 AMBERLY DR
COLORADO SPRINGS, CO 80923-4156
Phone number: 719-432-6497
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