person
Dr. Jerry Daniel Ayers, MD
Addiction Medicine (Family Medicine) Physician in San Diego, California
NPI 1104977602

Jerry Daniel Ayers is an Addiction Medicine (Family Medicine) Physician based in San Diego, CA and is specialized in Addiction Medicine. Jerry Daniel Ayers practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Jerry Daniel Ayers is 1104977602 and holds a License No. A42793 (California).

The current practice location address for Jerry Daniel Ayers is 2121 5Th Ave, San Diego, CA and can be reached out via phone at 619-683-9394 and via fax at 619-683-9228.

Location: 2121 5Th Ave, San Diego, CA, 92101-2139
person
Provider Profile Details
NPI Number
1104977602
Provider Name
Jerry Daniel Ayers
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2121 5Th Ave, San Diego, CA, 92101-2139
Phone Number
619-683-9394
Fax Number
619-683-9228
Provider Enumeration Date
01/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A427930 01 CA MEDI-CAL PROVIDER NUMBER
00A427931 01 CA MEDI-CAL PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2121 5Th Ave
City
State
Zip
92101-2139
Phone Number
619-683-9394
Fax Number
619-683-9228
person
Provider Business Mailing Address Details
Address
2121 5Th Ave
City
State
Zip
92101-2139
Phone Number
619-683-9394
Fax Number
619-683-9228
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
A42793 (California)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
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