Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 39400 | CO |
NPI | 1003989633 |
---|---|
Provider Name | Eric Campbell Meyer |
First Address | Durango, CO 81301-7487 |
Second Address | Durango, CO 81301-7487 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 11/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H35201 | (02) |