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Casey Ryko Jestrovich, CNIM,REEGT
Electroneurodiagnostic Specialist/Technologist in Grand Junction, Colorado
NPI 1538635982

Casey Ryko Jestrovich is a Electroneurodiagnostic Specialist/Technologist based in Grand Junction, CO and is specialized in Electroneurodiagnostic. Casey Ryko Jestrovich practices in Grand Junction, CO and has the professional credentials of CNIM,REEGT. The NPI Number for Casey Ryko Jestrovich is 1538635982 and holds a License No. 99-187-0511 (Colorado).

The current practice location address for Casey Ryko Jestrovich is 2318 Hall Ave, Grand Junction, CO and can be reached out via phone at 303-886-6641.

Location: 2318 Hall Ave, Grand Junction, CO, 81501-6234
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Provider Profile Details
NPI Number
1538635982
Provider Name
Casey Ryko Jestrovich
Credential
CNIM,REEGT
Provider Entity Type
Individual
Gender
Male
Address
2318 Hall Ave, Grand Junction, CO, 81501-6234
Phone Number
303-886-6641
Fax Number
Provider Enumeration Date
10/23/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
VAD450M96159 01 CO ANTHEM BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2318 Hall Ave
City
State
Zip
81501-6234
Phone Number
303-886-6641
Fax Number
person
Provider Business Mailing Address Details
Address
2318 Hall Ave
City
State
Zip
81501-6234
Phone Number
303-886-6641
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
License No.
99-187-0511 (Colorado)
Definition
Definition to come...
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