Healthcare Provider Details

I. General information

NPI: 1700881125
Provider Name (Legal Business Name): GARY L NEER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3910 CAUGHEY RD STE 150
ERIE PA
16506-4041
US

IV. Provider business mailing address

3910 CAUGHEY RD STE 150
ERIE PA
16506-4041
US

V. Phone/Fax

Practice location:
  • Phone: 814-877-5401
  • Fax: 814-877-5400
Mailing address:
  • Phone: 814-877-5401
  • Fax: 814-877-5400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD054525L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: