Individual
DR. PATRICK J DEMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2405 RESEARCH PARKWAY, COLORADO SPRINGS, CO 80920-3420
(719) 522-1133
(719) 264-1772
Mailing address
2405 RESEARCH PARKWAY, COLORADO SPRINGS, CO 80920-3420
(719) 522-1133
(719) 264-1772
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23197
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01230978
—
CO
Enumeration date
02/23/2006
Last updated
10/07/2011
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