Derek Douglas, RPSGT, CNA, FCMT, BS

NPI 1023706041 · on the registry since 2023

Practice

Address: 523 N Pine St.
Gunnison, CO 81230
Phone: (970) 746-6387
Fax: (970) 832-9287
Organisation at this address: I-Was Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 246Z00000X
246Z00000X
Also registered as: 171400000X
247200000X
374K00000X
374U00000X
376K00000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado