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Individual

JERRY S STEINBRECHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1906 BLAKE AVE, GLENWOOD SPGS, CO 81601-4227
(970) 945-6535
Mailing address
PO BOX 2725, GLENWOOD SPGS, CO 81602-2725
(970) 945-1443
(970) 947-9410

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18426
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01184266
CO
01
PA636752
BLUE CROSS
Enumeration date
01/20/2006
Last updated
10/12/2007
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