Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 0056659 | CO |
N | 207P00000X | Emergency Physician | 4301103161 | MI |
NPI | 1013356534 |
---|---|
Provider Name | Jennifer Ann Gero |
First Address | Cortez, CO 81321-2231 |
Second Address | Cortez, CO 81321-2231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2013 |
Last Update Date | 22/03/2021 |