DR. James Alan Derrisaw, M.D.

NPI #1710975586 in Fort Collins, Colorado

Provider Information

NPI Number: 1710975586
Entity Type: Individual
Name: DR. James Alan Derrisaw, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Credential: M.D.
Enumeration Date: Oct 6, 2005
Last Updated: Jun 6, 2013

Practice Location

Address: 1236 E ELIZABETH ST
Address 2: SUITE 1
City: Fort Collins
State: Colorado
ZIP Code: 80524-4000
Phone: (970) 224-2985

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary
Anesthesiology	207L00000X

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