Derik M Bugno Valid NPI
Individual provider · Preferred Provider Organization · Denver, CO
- NPI
- 1447847942
- Type
- Individual (Type 1)
- Primary specialty
- Preferred Provider Organization
- Specialty group
- Managed Care Organizations
- Taxonomy code
- 305R00000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-12-30
- Last updated
- 2025-03-11
Practice location
4852 W 14th Ave
Denver, CO 80204-1171
(303) 955-0124