Individual
MARY KRISTEN DEMORUELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7111 E LOWRY BLVD STE 200, DENVER, CO 80230-7360
(303) 394-2828
(303) 320-0242
Mailing address
7111 E LOWRY BLVD STE 200, DENVER, CO 80230-7360
(303) 394-2828
(303) 320-0242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48030
CO
207RR0500X
Rheumatology Physician
Primary
48030
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06785212
—
CO
Enumeration date
06/15/2007
Last updated
06/08/2026
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