Individual provider · Type 1 NPI

John J. Derisio, OPA

Surgical Physician Assistant · Denver, CO

NPI number 1700968989 Active

Practice location

2535 S Downing St, Suite 100
Denver, CO 80210-5847

Call (720) 524-1367 Map

Fax (720) 524-1422

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X154 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1700968989

John J. Derisio, OPA's National Provider Identifier is 1700968989, issued on Oct 19, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Denver, CO. The record was last updated on Aug 5, 2010.