Peggy Ann Derloshon
Dental Public Health
120 Bristlecone Dr
Fort Collins
, Colorado 80524-2031
Peggy Ann Derloshon
Dental Public Health
120 Bristlecone Dr
Fort Collins
, Colorado 80524-2031
(970) 221-7165
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Peggy Ann Derloshon
- 120 Bristlecone Dr
- Fort Collins, CO
- Zip : 80524-2031
- Fax : (970) 221-7165
- Phone : (970) 224-5209
Second Address
- Peggy Ann Derloshon
- 120 Bristlecone Dr
- Fort Collins, CO
- Zip : 80524-2031
- Fax : (970) 221-7165
- Phone : (970) 224-5209
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 6629 | CO |
National Provider Identifier
| NPI | 1336316579 |
|---|---|
| Provider Name | Peggy Ann Derloshon |
| First Address | Fort Collins, CO 80524-2031 |
| Second Address | Fort Collins, CO 80524-2031 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2008 |
| Last Update Date | 15/05/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.