Search › Colorado › 183500000X
Gerrit Dehaas
NPI 1487269007 · on the registry since 2020
Practice
- Address
- 4080 W Northern Ave
Pueblo, CO 81005 - Phone
- (719) 561-0951
- Organisation at this address
- Walmart Inc.
3d Vision, Inc
Wal-Mart Stores, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-10
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