Individual
DR. JON ERIC DERKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1644 MEDICAL CENTER PT STE 200, COLORADO SPRINGS, CO 80907-5765
(719) 634-1994
(719) 634-2906
Mailing address
1644 MEDICAL CENTER PT STE 200, COLORADO SPRINGS, CO 80907-5765
(719) 634-1994
(719) 634-2906
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
43884
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48473081
—
CO
Enumeration date
12/01/2005
Last updated
05/29/2018
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