James Alan Derrisaw in Fort Collins - Interventional Pain Medicine
James Alan Derrisaw - NPI 1710975586
James Alan Derrisaw is a Interventional Pain Medicine in Fort Collins, Colorado. James Alan Derrisaw practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for James Alan Derrisaw is 1710975586. The last update date is 2013-06-06.
James Alan Derrisaw's current location address is 1236 E Elizabeth St, Fort Collins, Colorado. You can contact this provider via phone number 9702242985 and fax number 9704729381. The mailing address for James Alan Derrisaw is 1236 E Elizabeth St, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Alan Derrisaw |
|---|---|
| Address | 1236 E Elizabeth St, Fort Collins, Colorado |
| Phone Number | 9702242985 |
| Fax Number | 9704729381 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1710975586 |
|---|---|
| Provider Enumeration Date | 2005-10-06 |
| Last Updated Date | 2013-06-06 |
Provider Mailing Address Detail
| Address | 1236 E Elizabeth St |
|---|---|
| City | Fort Collins |
| State | Colorado (CO) |
| Post Code | 805244000 |
| Phone Number | 9702242985 |
| Fax Number | 9704729381 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Pain Medicine |
|---|---|
| Taxonomy | 208Vp0014X |
| Licence No | 39525 |
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Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4051262 | CO | -- | |
| 119537900 | WY | -- |
Post Comment/ Review Below
What is the James Alan Derrisaw's 1710975586?
The James Alan Derrisaw's NPI (National Provider Identifier) Number is 1710975586. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where James Alan Derrisaw is physically located?
The James Alan Derrisaw is situated at the following address: 1236 E Elizabeth St, Fort Collins, CO 805244000.
What is James Alan Derrisaw's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for James Alan Derrisaw is Interventional Pain Medicine, and the taxonomy code that categorizes this field of expertise is 208Vp0014X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710975586 to James Alan Derrisaw?
The James Alan Derrisaw received its 1710975586 assignment from the Centers for Medicare & Medicaid Services on 2005-10-06.
As of what date were the James Alan Derrisaw's details last updated?
The information pertaining to the James Alan Derrisaw, including its address, specialty, and other details, was most recently updated on 2013-06-06.