Individual
CHRISTINE L DEMOTT
Active
Individual
CHRISTINE L DEMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1261
CO
363A00000X
Physician Assistant
1261
CO
363AS0400X
Surgical Physician Assistant
Primary
1261
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012221
KAISER-COMMERCIAL NUMBER
—
05
—
86431820
—
CO
Enumeration date
02/27/2007
Last updated
05/05/2014
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