Provider Demographics
NPI:1821574955
Name:GAUER, JEFF (PHD)
Entity Type:Individual
Prefix:DR
First Name:JEFF
Middle Name:
Last Name:GAUER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19777 N 76TH ST APT 1155
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-4564
Mailing Address - Country:US
Mailing Address - Phone:719-282-5701
Mailing Address - Fax:
Practice Address - Street 1:9517 MONROE RD STE H
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28270-1489
Practice Address - Country:US
Practice Address - Phone:719-282-5701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies