Individual
GERALDINE VICTORIA JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4601 CORBETT DR, FORT COLLINS, CO 80528-9579
(970) 207-4857
(970) 207-4885
Mailing address
4601 CORBETT DR, FORT COLLINS, CO 80528-9579
(970) 207-4857
(970) 207-4885
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DR.0038549
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70758816
—
CO
Enumeration date
03/14/2006
Last updated
03/14/2016
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