Individual provider · Type 1 NPI

Marina Sidra Gerges

Student in an Organized Health Care Education/Training Program · Jasper, IN

NPI number 1053973636 Active

Practice location

966 Bartley St
Jasper, IN 47546-2641

Mailing address

515 W 9th Street, Unit A
Jasper, IN 47546

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X11020796A (IN)
Student in an Organized Health Care Education/Training Program Primary 390200000X11020796A (IN)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

24 other providers at this address

Other student in an organized health care education/training program providers in Jasper

See all in Jasper →

About NPI 1053973636

Marina Sidra Gerges's National Provider Identifier is 1053973636, issued on Jul 3, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jasper, IN. The record was last updated on Jul 8, 2019.