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NPI Code Detail

MEDICARE: DARREN EUGENE NISLY DO

MEDICARE: DARREN EUGENE NISLY DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianDR.0064180CO

General Provider Information

NPI Number : 1811375223
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARREN EUGENE NISLY DO
Provider Business Mailing Address
First Line : 714 1/2 WILLOW CREEK RD
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81505-9762
Country : US
Telephone Number : 620-899-5877
Fax Number :
Provider Business Practice Location Address
First Line : GENERAL SURGEONS OF WESTERN COLORADO
Second Line : 2440 N 11TH ST
City : GRAND JUNCTION
State : CO
Zip : 81501-8102
Country : US
Telephone Number : 970-243-0900
Fax Number : 970-245-4235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2015
Last Update Date : 02/12/2021

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Directions to “ DARREN EUGENE NISLY DO” Practice Location

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