SearchIdaho207V00000X

Gerald Mortimer, M.D

NPI 1457508947 · on the registry since 2008 · sole proprietor

Practice

Address
2095 Heather Ln
Ammon, ID 83406
Phone
(208) 529-2235

Registry record

Primary taxonomy
207V00000X
207V00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-08-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho