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ORLANDO R DEHERRERA D.O.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1548323348

Individual Registrant:
 ORLANDO R DEHERRERA D.O.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
103 CHICO CT  MONTE VISTA, CO 81144-1065 US
Tel: 719-852-9400  Fax: 719-852-9311

Contact information for business:
103 CHICO CT  MONTE VISTA, CO 81144-1065 US
Tel: 719-852-9400  Fax: 719-852-9311

Registration Information:
NPI: 1548323348
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
TXL1830

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS8U8523TX01
RAILROAD PROVIDER NUMBERP00200133TX01
PROVIDER BCBS NUMBER8K5235TX01




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