Individual
MR. JOHN J DERISIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPA
Contact information
Practice address
2535 S DOWNING ST, SUITE 100, DENVER, CO 80210-5847
(720) 524-1367
(720) 524-1422
Mailing address
2535 S DOWNING ST, SUITE 100, DENVER, CO 80210-5847
(720) 524-1367
(720) 524-1422
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
154
CO
Other
Enumeration date
10/19/2006
Last updated
08/05/2010
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