David Thomas Deremer, RRT-SDS, RPSGT, RST

Individual provider Active NPI Registered Respiratory Therapist · Morrison, CO

NPI 1831443522 · NPPES record last updated Nov 1, 2012

Key facts

NPI
1831443522
Entity type
Individual (NPI type 1)
Primary specialty
Registered Respiratory Therapist 227900000X
License
RTL.0003496 (CO)
Practice address
12654 W Grand Dr
Morrison, CO 80465-1706
Phone
(720) 472-9416
NPI assigned
Nov 1, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RTL.0003496COMDRegistered Respiratory Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X RTL.0003496 CO Yes
Other Specialist/Technologist 246Z00000X 8941

Addresses

Primary practice location

12654 W Grand Dr
Morrison, CO 80465-1706

Mailing address

12654 W Grand Dr
Morrison, CO 80465-1706
Phone (720) 472-9416

Other providers in Morrison, CO

All providers in Morrison, CO · Registered Respiratory Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.