Search › Colorado › 225X00000X
Mark Derrevere
NPI 1811591290 · on the registry since 2020
Practice
- Address
- Lone Tree Medical Center
9548 Park Meadows Drive
Lone Tree, CO 80124 - Phone
- (720) 281-8114
- Fax
- (720) 553-0901
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225XH1200X
225XH1200X - Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-08
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