# DR. HENRY DANIEL DERBES III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912434978
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 04-49203 | KS | — |
| 208D00000X | General Practice Physician | 32695 | WV | — |
| 208D00000X | General Practice Physician | 34900 | NE | Yes |

## Other

- **Enumeration date:** 05/20/2017
- **Last updated:** 11/05/2024