NPI 1447847942

Derik M Bugno

Practitioner Preferred Provider Organization Denver, CO

Practice location

Address: 4852 W 14th Ave, Denver, CO 80204-1171
Phone: (303) 955-0124

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1447847942
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Dec 2020
Record last updated: 11 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.