CHRISTOPHER R DPERSIO DPM PROF LLC NPI 1083814883

NPI Information

NPI: 1083814883
Provider Name: CHRISTOPHER R DPERSIO DPM PROF LLC
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
5 STADIUM PL
PUEBLO, CO
ZIP 81004
Phone: (719) 584-3338
Get Directions

CHRISTOPHER R DPERSIO DPM PROF LLC is a podiatric clinic center in Pueblo, CO. CHRISTOPHER R DPERSIO DPM PROF LLC NPI is 1083814883. The provider is registered as an organization entity type.

The provider's business location address is:

5 STADIUM PL
PUEBLO, CO
ZIP 81004-129
Phone: (719) 584-3338
Fax: (719) 584-3337

The provider's authorized official is Jennifer Dipersio .
The authorized official title is Office Manager and has the following contact phone number (719) 584-3338.

The enumeration date for this NPI number is 7/19/2007 and was last updated on 12/13/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP1100X	Clinic/Center	Podiatric	531	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	U80375	MEDICARE UPIN	COLORADO
2	39577376	MEDICAID	COLORADO
3	C493238	MEDICARE PIN	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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