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Contact Information

DERRICK R FANSLER, MD
2222 N NEVADA AVE
SUITE 4007
COLORADO SPRINGS, CO80907
 Phone: 719-776-8500
 Fax: 719-634-1448
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DERRICK R FANSLER · (Male)

NPI # 1760626519
Status Active
Credentials MD
Entity Individual
Enumeration date 04/23/2009
Last updated 09/07/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 53906
  • CO License # DR.0053906
Hospital affiliation(s)
  • CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES - (Acute Care)
    2222 N NEVADA AVE
    COLORADO SPRINGS, CO 80907
  • HEART OF THE ROCKIES REGIONAL MEDICAL CENTER - (Critical Access)
    1000 RUSH DRIVE
    SALIDA, CO 81201
  • MEMORIAL HOSPITAL CENTRAL - (Acute Care)
    1400 E BOULDER ST
    COLORADO SPRINGS, CO 80909
  • SAN LUIS VALLEY REGIONAL MEDICAL CENTER - (Acute Care)
    106 BLANCA AVE
    ALAMOSA, CO 81101
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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