Michael Anthony Derose in Pueblo - General Practice
Michael Anthony Derose - NPI 1033185871
Michael Anthony Derose is a General Practice in Pueblo, Colorado. Michael Anthony Derose practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael Anthony Derose is 1033185871. The last update date is 2007-07-09.
Michael Anthony Derose's current location address is 415 N Grand Ave, Pueblo, Colorado. You can contact this provider via phone number 7195463333. The mailing address for Michael Anthony Derose is 415 N Grand Ave, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Anthony Derose |
|---|---|
| Address | 415 N Grand Ave, Pueblo, Colorado |
| Phone Number | 7195463333 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1033185871 |
|---|---|
| Provider Enumeration Date | 2006-02-23 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 415 N Grand Ave |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810033111 |
| Phone Number | 7195463333 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DEN-5133 |
|
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2051332 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Michael Anthony Derose by the Centers for Medicare & Medicaid Services?
The Michael Anthony Derose has been assigned the NPI (National Provider Identifier) 1033185871 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Michael Anthony Derose?
The Michael Anthony Derose is situated at 415 N Grand Ave, in the city of Pueblo, state of CO, with the zip code 810033111.
What is Michael Anthony Derose's area of expertise and its corresponding taxonomy classification?
The Michael Anthony Derose's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
When was the Michael Anthony Derose's 1033185871 issued?
The Michael Anthony Derose's 1033185871 was issued on 2006-02-23.
As of what date were the Michael Anthony Derose's details last updated?
The information pertaining to the Michael Anthony Derose, including its address, specialty, and other details, was most recently updated on 2007-07-09.
NPI Number: 1538162334
Address: 2628 N Mount Juliet Rd, Mount Juliet, TN
NPI Number: 1023013448
Address: 1600 11th St, Wichita Falls, TX
NPI Number: 1710982384
Address: 7998 W. Thunderbird Rd., Peoria, AZ
NPI Number: 1609868488
Address: 4139 Mammoth Ave, Sherman Oaks, CA
NPI Number: 1710971080
Address: 9785 Mackenzie Rd, Saint Louis, MO