Individual
DR. CHAD A DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 COCHRANE CIR, UROLOGY SERVICE, EVANS ARMY COMMUNITY HOSPITAL, FORT CARSON, CO 80913-4613
(719) 526-7115
Mailing address
1650 COCHRANE CIR, UROLOGY SERVICE, FORT CARSON, CO 80913-4613
(719) 526-7115
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01061241A
IN
208800000X
Urology Physician
Primary
DR.0052374
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028857
KAISER COMMERCIAL NUMBER
CO
05
—
55980767
—
CO
Enumeration date
08/08/2007
Last updated
06/21/2021
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