Individual
DR. JERRY HOWARD GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 S FRONTAGE RD W, US BANK BUILDING STE 306, VAIL, CO 81657-5053
(970) 476-1110
(970) 470-6648
Mailing address
PO BOX 40000, VAIL, CO 81658-7520
(970) 476-1110
(970) 470-6648
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
23738
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01237387
—
CO
05
—
03788075
—
NM
05
—
10026280600
—
NE
05
—
10026280700
—
NE
05
—
10026280800
—
NE
05
—
10026281000
—
NE
05
—
10026281200
—
NE
05
—
10026283100
—
NE
05
—
1962498766
—
WY
05
—
1982948089
—
NE
05
—
201070520A
—
KS
Enumeration date
09/27/2005
Last updated
06/07/2021
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