Provider Demographics
NPI:1699774562
Name:GASSER, GEORGE M III (DO)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:M
Last Name:GASSER
Suffix:III
Gender:
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1105 W LIBERTY
Mailing Address - Street 2:SUITE 2050
Mailing Address - City:FARMINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63640
Mailing Address - Country:US
Mailing Address - Phone:573-701-9600
Mailing Address - Fax:573-701-9605
Practice Address - Street 1:1105 W LIBERTY
Practice Address - Street 2:SUITE 2050
Practice Address - City:FARMINGTON
Practice Address - State:MO
Practice Address - Zip Code:63640
Practice Address - Country:US
Practice Address - Phone:573-701-9600
Practice Address - Fax:573-701-9605
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2025-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR9B54207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOG24778Medicare UPIN