BEGIN:VCARD VERSION:3.0 FN:Fred Ayers\, MD N:Ayers;Fred;;;MD TITLE:General Practice Physician TEL;TYPE=WORK,VOICE:+16203847350 URL:https://www.gale.care/providers/ks/syracuse/fred-ayers-md-1972530103 NOTE:NPI 1972530103. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1972530103 END:VCARD