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Individual
DR. DERRICK BURGESS
Active
Individual
DR. DERRICK BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23260
MS
207X00000X
Orthopaedic Surgery Physician
35.099675
OH
207X00000X
Orthopaedic Surgery Physician
45479
KY
Other
Enumeration date
08/06/2008
Last updated
01/06/2020
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