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Organization
JAMES L DERICKSON MD PC
Active
Organization
JAMES L DERICKSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L DERICKSON MD (CEO)
(719) 473-8595
Entity
Organization
Contact information
Practice address
1715 N WEBER ST, SUITE 270, COLORADO SPRINGS, CO 80907-7532
(719) 473-8595
Mailing address
3464 S WILLOW ST, SUITE 540, DENVER, CO 80231-4531
(800) 929-5395
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/18/2006
Last updated
10/31/2007
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