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1841258407
GERRY J BERTISH
SAINT LOUIS, MO
NPI
1841258407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MO 102464)
Enumeration Date
2006-05-03
Last Update Date
2007-07-08
Business Address
Mr. GERRY J BERTISH PA
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Phone number: 314-652-4100
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Mailing Address
Mr. GERRY J BERTISH PA
915 N GRAND BLVD
SAINT LOUIS, MO 63106-1621
Phone number: 314-652-4100
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