Provider Demographics
NPI:1891962031
Name:AYERS, GARY S (DO)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:S
Last Name:AYERS
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1 HOSPITAL DR STE 306
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9350
Mailing Address - Country:US
Mailing Address - Phone:570-522-4110
Mailing Address - Fax:570-768-3911
Practice Address - Street 1:25 LYSTRA ROGERS DR
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-8807
Practice Address - Country:US
Practice Address - Phone:570-523-3290
Practice Address - Fax:570-524-5231
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2022-06-07
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Provider Licenses
StateLicense IDTaxonomies
PAOS014424208600000X, 2083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine