Scott Alan Deruiter M.D.

NPI 1093777658 - Family Medicine - 207Q00000X

NPI Details
NPI 1093777658
Gender Male
Enumeration Date 04/06/2006
Last Updated 02/21/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
3676 PARKER BLVD
PUEBLO CO, 81008-2212, US
Phone (719) 553-2200
Fax (719) 553-2216
Business Location
PO BOX 9000
PUEBLO CO, 81008-9000, US
Phone (719) 553-2200
Fax (719) 553-2216
Toxanomy
Taxonomy Code 207Q00000X
License State Colorado
License Number 43016
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According to our database, Dr. Scott Alan Deruiter M.D. NPI is 1093777658, taxonomy code is 207Q00000X and license number is 43016, license state is located at Colorado. Scott Alan Deruiter M.D. physically located at 3676 Parker Blvd, Pueblo CO, 81008-2212. NPI Number Scott Alan Deruiter M.D. has the Individual type.

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1093777658 NPI number is provided on an as is basis without warranty of any kind. 1093777658 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Alan Deruiter M.D. are for informational purposes only.