Keith Edward Derr IDC

NPI 1043275712 - Military Health Care Provider - 1710I1002X

NPI Details
NPI 1043275712
Gender Male
Enumeration Date 04/18/2006
Last Updated 04/20/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
USS WHIDBEY ISLAND
FPO AE, 09591-1727, US
Phone (757) 462-7526
Fax
Business Location
4837 PEACHCREEK LN
VIRGINIA BEACH VA, 23455-5326, US
Phone (757) 518-9726
Fax
Toxanomy
Taxonomy Code 1710I1002X
License State
License Number
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According to our database, Keith Edward Derr IDC NPI is 1043275712, taxonomy code is 1710I1002X Keith Edward Derr IDC physically located at Uss Whidbey Island, Fpo AE, 09591-1727. NPI Number Keith Edward Derr IDC has the Individual type.

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1043275712 NPI number is provided on an as is basis without warranty of any kind. 1043275712 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Edward Derr IDC are for informational purposes only.