Derek Lee Deboer MD

NPI 1194032748 - General Practice - 208D00000X

NPI Details
NPI 1194032748
Gender Male
Enumeration Date 09/02/2010
Last Updated 08/19/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
1550 TOMCAT BLVD STE 150
VIRGINIA BEACH VA, 23460-2186, US
Phone (757) 953-3778
Fax
Business Location
1550 TOMCAT BLVD STE 150
VIRGINIA BEACH VA, 23460-2186, US
Phone (757) 953-3778
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Virginia
License Number 0101250168
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According to our database, Dr. Derek Lee Deboer MD NPI is 1194032748, taxonomy code is 208D00000X and license number is 0101250168, license state is located at Virginia. Derek Lee Deboer MD physically located at 1550 Tomcat Blvd Ste 150, Virginia Beach VA, 23460-2186. NPI Number Derek Lee Deboer MD has the Individual type.

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1194032748 NPI number is provided on an as is basis without warranty of any kind. 1194032748 is maintained by the National Plan & Provider Enumeration System. The contents of Derek Lee Deboer MD are for informational purposes only.