Derik M Bugno
Derik M Bugno is a Preferred Provider Organization in Denver, Colorado. Practices as a sole proprietor. Licensed in Colorado.
- Licensed in
- CO
- In the registry since
- 2020
Practice location Address checks out
4852 W 14th AveDenver, CO 80204-1171
Phone: (303) 955-0124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X (CO) |
|---|
Record details
| NPI number | 1447847942 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 30, 2020 |
| Last updated in NPPES | March 11, 2025 |
| Certification date | March 11, 2025 |
| Mailing address | 4852 W 14th Ave, Denver, CO 80204-1171 |
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