SearchColorado2255A2300X

Derek Nichols

NPI 1760841621 · on the registry since 2016 · sole proprietor

Practice

Address
117 Poncha Ave
Alamosa, CO 81101
Phone
(503) 779-9322

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-02-19

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