Individual
DR. JUSTIN J ERNAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
181 W MEADOW DR, VAIL, CO 81657-5242
(970) 476-1100
Mailing address
2951 PRINCE DR, CLARKSVILLE, TN 37043-9306
(815) 252-9486
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2016032298
MO
207X00000X
Orthopaedic Surgery Physician
49721
KY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
54531
TN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
DR.0063541
CO
208D00000X
General Practice Physician
MD-16545
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205120177
NPI
—
Enumeration date
06/07/2011
Last updated
10/25/2021
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