Provider Demographics
NPI:1235319542
Name:AUVIL, GERALD CLARK (IDC)
Entity Type:Individual
Prefix:MR
First Name:GERALD
Middle Name:CLARK
Last Name:AUVIL
Suffix:
Gender:M
Credentials:IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 CLEARBROOK WAY
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-9589
Mailing Address - Country:US
Mailing Address - Phone:304-704-3232
Mailing Address - Fax:
Practice Address - Street 1:111 CLEARBROOK WAY
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-9589
Practice Address - Country:US
Practice Address - Phone:760-277-1160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-05
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman