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Individual

DR. ROBERT ALEXIS DERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
DEPT #0861, DENVER, CO 80256-0001
(866) 898-7136
(616) 975-9824
Mailing address
3555 E RD, PALISADE, CO 81526-9558
(970) 464-9019

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
43730
CO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
A80430
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
59626861
CO
01
P00278508
RAILROAD
CO
05
T0423
UT
Enumeration date
06/02/2006
Last updated
11/08/2007
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