Individual
JEREMY ERDLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10103 RIDGEGATE PKWY, SUITE G21, LONE TREE, CO 80124-5520
(303) 471-5060
(303) 417-5062
Mailing address
10103 RIDGEGATE PKWY, SUITE G21, LONE TREE, CO 80124-5520
(303) 471-5060
(303) 417-5062
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
37138
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01371384
—
CO
Enumeration date
05/27/2006
Last updated
07/09/2007
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