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Derrick Roth Fansler, M.D.

Internal Medicine, Clinical Cardiac Electrophysiology in Colorado Springs, CO. Individual provider (NPI-1).

NPI number1760626519
StatusActive
Last updated in NPPESSep 7, 2018

Details

NPI
1760626519
Entity type
Individual (NPI-1)
Name
Derrick Roth Fansler
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 23, 2009
Last updated
Sep 7, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0001X Internal Medicine, Clinical Cardiac ElectrophysiologyDR.0053906COYes
207RC0000X Internal Medicine, Cardiovascular Disease53906CO

Practice location

2222 N Nevada Ave
Suite 4007
Colorado Springs, CO 80907

Phone 719-776-8500 · Fax 719-634-1448

Mailing address

2222 N Nevada Ave
Suite 4007
Colorado Springs, CO 80907-6819

Phone 719-776-8500 · Fax 719-634-1448

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Other Clinical Cardiac Electrophysiology Physician providers in Colorado Springs, CO

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