Individual
DR. JEROME BARTHOLOMEW MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2222 N NEVADA AVE, PENROSE HOSPITAL, DEPT. OF PATHOLOGY, COLORADO SPRINGS, CO 80907-6819
(719) 776-5991
(719) 776-2108
Mailing address
2222 N NEVADA AVE, PENROSE HOSPITAL, DEPT. OF PATHOLOGY, COLORADO SPRINGS, CO 80907-6819
(719) 776-5991
(719) 776-2108
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
44869
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67200052
—
CO
01
—
P00370504
RAILROAD MEDICARE
CO
Enumeration date
04/05/2006
Last updated
11/05/2007
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