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Individual
DERRICK ALAN HENRY
Active
Individual
DERRICK ALAN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
31406
MS
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
67994
TN
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
E-16463
AR
Other
Enumeration date
04/02/2018
Last updated
05/20/2026
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