Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 0000725 | CO |
N | 213ES0103X | Foot & Ankle Surgery | 1019-25 | WI |
NPI | 1104138478 |
---|---|
Provider Name | Morgan Jerabek |
First Address | Denver, CO 80204-4507 |
Second Address | Denver, CO 80204-4507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2010 |
Last Update Date | 25/03/2021 |