Individual
MICHAEL DEIGNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-6999
(719) 365-2837
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4034
(970) 490-4347
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR.0037044
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050065587
RAILROAD MEDICARE
CO
05
—
059082569
—
CO
01
—
A6648
ANTHEM/BLUE CROSS
CO
Enumeration date
05/12/2006
Last updated
12/27/2017
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