Whalio Doctors

NPI 1003125238

Jeremy Stephen Colyer, AA

Practitioner Anesthesiologist Assistant Saint Louis, MO

Practice location

Address
10010 Kennerly Rd, Saint Louis, MO 63128-2106
Phone
(636) 386-7222
Fax
(636) 200-4036
Mailing address
PO Box 22407, Saint Louis, MO 63126-0407

Registered specialties

Anesthesiologist Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 2010034770 (MO)

Registry record

NPI
1003125238
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Oct 2010
Record last updated
5 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.