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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GERALD ELBERT MORTIMER, M.D.

Active Sole Proprietor

DR. GERALD ELBERT MORTIMER, M.D. is a Obstetrics & Gynecology healthcare provider located in AMMON, Idaho. NPI 1457508947 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · AMMON, ID

Registration Details

NPI Number
1457508947
Provider Type
Individual
Gender
Male
NPI Issued
Aug 26, 2008 (18.014269841425 yrs)
Last Updated
Aug 26, 2008
License
M-3709 (ID)
Sole Proprietor
Yes

Practice Information

Address
2095 HEATHER LN
AMMON, ID, 834066705
Browse ID providers · Browse ZIP 83406
Phone
2085292235
Primary Specialty
Obstetrics & Gynecology
207V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.