Most Relevant Information
Provider Data
| NPI Number: | 1003377169 |
| Provider Name: | ERIC JERNIGAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208600000X |
| Specialty: | Surgery |
| License Number: | DR.0073812 |
Most Important Dates
| Enumeration Date: | 03/29/2019 |
| Last Updated: | 08/26/2024 |
Provider Practice Location
1906 BLAKE AVE
GLENWOOD SPRINGS
CO
816014227
Practice Location Phone/Fax
| Phone: | 9706276675 |
| Fax: |
Provider Mailing Location
2501 CISAR CT APT 1E
GLENWOOD SPRINGS
CO
816014169
Provider Mailing Phone/Fax
| Phone: | 9705963485 |
| Fax: |
Suggested EMR
Surgeon EMR