person
Mr. John J Derisio, OPA
Surgical Physician Assistant in Denver, Colorado
NPI 1700968989

John J Derisio is a Surgical Physician Assistant based in Denver, CO and is specialized in Surgical. John J Derisio practices in Denver, CO and has the professional credentials of OPA. The NPI Number for John J Derisio is 1700968989 and holds a License No. 154 (Colorado).

The current practice location address for John J Derisio is 2535 S Downing St, Denver, CO and can be reached out via phone at 720-524-1367 and via fax at 720-524-1422.

Location: 2535 S Downing St, Denver, CO, 80210-5847
person
Provider Profile Details
NPI Number
1700968989
Provider Name
John J Derisio
Credential
OPA
Provider Entity Type
Individual
Gender
Male
Address
2535 S Downing St, Denver, CO, 80210-5847
Phone Number
720-524-1367
Fax Number
720-524-1422
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2535 S Downing St
City
State
Zip
80210-5847
Phone Number
720-524-1367
Fax Number
720-524-1422
person
Provider Business Mailing Address Details
Address
2535 S Downing St
City
State
Zip
80210-5847
Phone Number
720-524-1367
Fax Number
720-524-1422
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
154 (Colorado)
Definition
Definition to come...
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