Gerard Forster, PA-C
Physician Assistant, Medical in Saint Louis, MO. Individual provider (NPI-1).
NPI number1508335779
StatusActive
Last updated in NPPESNov 17, 2018
Details
- NPI
- 1508335779
- Entity type
- Individual (NPI-1)
- Name
- Gerard Forster
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2018
- Last updated
- Nov 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 0010-08137 | NC | Yes |
Practice location
12647 Olive Blvd Ste 600Saint Louis, MO 63141-6346
Phone 910-455-3666
Mailing address
688 Hawthorne PlCreedmoor, NC 27522-9733
Phone 919-529-4334
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