Provider Demographics
NPI:1881768133
Name:MELTZER, GERALD EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:EDWARD
Last Name:MELTZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10108 LONGVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-9764
Mailing Address - Country:US
Mailing Address - Phone:303-799-1018
Mailing Address - Fax:720-596-5086
Practice Address - Street 1:10108 LONGVIEW DR
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-9764
Practice Address - Country:US
Practice Address - Phone:303-799-1018
Practice Address - Fax:720-596-5086
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO17232207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology