Individual
PREMJIT S. DEOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
660 GOLDEN RIDGE RD, STE 250, GOLDEN, CO 80401-9541
(303) 233-1223
(303) 233-8755
Mailing address
660 GOLDEN RIDGE RD, STE. 250, GOLDEN, CO 80401-9541
(303) 233-1223
(303) 233-8755
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
34-008599
OH
207X00000X
Orthopaedic Surgery Physician
Primary
48122
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164965
MEDICAID GROUP
OH
05
—
2844364
—
OH
05
—
66771366
—
CO
01
—
OR9300431
MEDICARE GROUP #
OH
Enumeration date
06/14/2007
Last updated
02/02/2017
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