Doctor Name: | GARY A MEYER |
NPI Number: | 1457395469 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 20236 |
Business Practice Address: | 501 Airport Rd Rifle, CO - 816508510 |
Business Phone Number: | 9706251100 |
Business Fax Number: | 9706250725 |
Mailing Address: | 501 Airport Rd, RIFLE |
State: | CO |
Postal Code: | 816508510 |
Phone Number: | 9706251100 |
Fax Number: | 9706250725 |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 03/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 20236 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |