Individual
MARY H GERODETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 S 3RD ST, MONTROSE, CO 81401-4212
(970) 249-2211
Mailing address
PO BOX 668, ARVADA, CO 80001-0668
(303) 422-9438
(303) 422-9474
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30792
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01307925
—
CO
Enumeration date
05/05/2006
Last updated
11/02/2007
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