Individual
JUSTIN P MESCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 BALSAM AVE, BOULDER, CO 80304
(303) 415-7000
(425) 407-1112
Mailing address
PO BOX 17389, DENVER, CO 80217-0389
(425) 407-1000
(425) 407-1112
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
058074
GA
207L00000X
Anesthesiology Physician
Primary
DR0055201
CO
207LP2900X
Pain Medicine (Anesthesiology) Physician
058074
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124050265
—
CO
05
—
808556222A
—
GA
Enumeration date
07/07/2006
Last updated
07/19/2019
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