NPI 1043808090

Grant Edmund Gerstner, DO

Practitioner Military Health Care Provider Nellis Afb, NV

Practice location

Address: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600
Phone: (702) 653-2273

Registered specialties (2)

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

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General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence DR.0074091 (CO)

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Registry record

NPI: 1043808090
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jan 2021
Record last updated: 6 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.