| NPI | 1538152442 |
|---|---|
| Former Legal Business Name | MARYETHEL MEYER MD PC |
| Entity Type | Organization |
| Authorized Contact | EDRA B WEISS President 303-233-8701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2007-12-06 |