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Contact Information

NICOLE B MCDERMOTT MD PC
1906 BLAKE AVENUE
GLENWOOD SPRINGS, CO81601
 Phone: 970-945-6535
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for NICOLE B MCDERMOTT MD PC · (Female)

NPI # 1609053313
Status Active
Credentials
Entity Individual
Enumeration date 01/24/2008
Last updated 04/24/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 44410
  • CO Medicaid 20939329
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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