JOHN J DERISIO

DENVER, CO
NPI1700968989
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CO  154)
Enumeration Date2006-10-19
Last Update Date2010-08-05
Business Address
Mr. JOHN J DERISIO OPA
2535 S DOWNING ST SUITE 100
DENVER, CO 80210-5847
Phone number: 720-524-1367
Mailing Address
Mr. JOHN J DERISIO OPA
2535 S DOWNING ST SUITE 100
DENVER, CO 80210-5847
Phone number: 720-524-1367
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