| Doctor Name: | DR. GERALD I MYERS |
| NPI Number: | 1205832722 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 40942 |
| Business Practice Address: | 750 Hospital Loop Craig, CO - 816258750 |
| Business Phone Number: | 7024533799 |
| Business Fax Number: | 7024535741 |
| Mailing Address: | Po Box 2586, EDWARDS |
| State: | CO |
| Postal Code: | 816322586 |
| Phone Number: | 7024533799 |
| Fax Number: | 7024535741 |
| NPI Enumeration Date: | 06/21/2005 |
| NPI Last Update Date: | 12/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207UN0901X |
| License Number: | 40942 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Nuclear Medicine |
| Taxonomy Specialization: | Nuclear Cardiology |
| Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear cardiology. |