Individual
DR. KATHERINE MARIE DEDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
00000000
NC
207X00000X
Orthopaedic Surgery Physician
Primary
64515
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029555
KAISER COMMERCIAL NUMBER
CO
05
—
9000184390
—
CO
Enumeration date
04/25/2014
Last updated
06/20/2024
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