Basic Information
| Provider Information | |||||||||
| NPI: | 1003908310 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ERIC MEYER MD PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1954 E FORT UNION BLVD | ||||||||
| Address2: | 107 | ||||||||
| City: | SALT LAKE CITY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 841216889 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8019939527 | ||||||||
| FaxNumber: | 8017335872 | ||||||||
| Practice Location | |||||||||
| Address1: | 2761 COMMERCIAL WAY | ||||||||
| Address2: | |||||||||
| City: | ROCK SPRINGS | ||||||||
| State: | WY | ||||||||
| PostalCode: | 82901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8019939527 | ||||||||
| FaxNumber: | 8017335872 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/28/2006 | ||||||||
| LastUpdateDate: | 07/26/2007 | ||||||||
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| AuthorizedOfficialLastName: | MEYER | ||||||||
| AuthorizedOfficialFirstName: | ERIC | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8019939527 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.