Individual
JASON RICHARD MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 E PROSPECT RD, FORT COLLINS, CO 80525-1307
(970) 221-2222
(970) 221-4286
Mailing address
1725 E PROSPECT RD, FORT COLLINS, CO 80525-1307
(970) 221-2222
(970) 221-4286
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT-198878
PA
207W00000X
Ophthalmology Physician
Primary
DR0057115
CO
207W00000X
Ophthalmology Physician
MD453992
PA
Other
Enumeration date
06/25/2011
Last updated
08/04/2016
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