Individual
DR. GERALD I MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 HOSPITAL LOOP, CRAIG, CO 81625-8750
(702) 453-3799
(702) 453-5741
Mailing address
PO BOX 2586, EDWARDS, CO 81632-2586
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
22819
NE
207RC0000X
Cardiovascular Disease Physician
Primary
40942
CO
207UN0901X
Nuclear Cardiology Physician
40942
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119046600
—
WY
05
—
27902862
—
CO
Enumeration date
06/21/2005
Last updated
12/09/2014
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