Individual provider · Type 1 NPI

Grant Edmund Gerstner, DO

Military Health Care Provider · Nellis Afb, NV

NPI number 1043808090 Active

Practice location

4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600

Other practice locations

  • 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 · (210) 916-4789

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000XDR.0074091 (CO)
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1043808090

Grant Edmund Gerstner, DO's National Provider Identifier is 1043808090, issued on Jan 5, 2021. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Nellis Afb, NV. The record was last updated on May 6, 2026.