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Individual
DERRICK ROTH FANSLER
Active
Individual
DERRICK ROTH FANSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
53906
CO
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
DR.0053906
CO
Other
Enumeration date
04/23/2009
Last updated
09/07/2018
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