Provider Demographics
NPI:1992897722
Name:STEINER, GARY P (R EEG/EP T/RPSGT)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:P
Last Name:STEINER
Suffix:
Gender:M
Credentials:R EEG/EP T/RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2232 N 7TH ST #4
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-7454
Mailing Address - Country:US
Mailing Address - Phone:970-640-1650
Mailing Address - Fax:970-257-1301
Practice Address - Street 1:2232 N 7TH ST #4
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-7454
Practice Address - Country:US
Practice Address - Phone:970-640-1650
Practice Address - Fax:970-257-1301
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1930246ZE0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEG
Provider Identifiers
StateIdentifier IDID TypeIssuer
COP00258706OtherPALMETTO GBA
COC535778Medicare PIN
COY11919Medicare UPIN