Individual
DEREK G HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-6003
(573) 884-5410
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
111414
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111238
BLUE CHOICE
MO
01
—
751787
HEALTHLINK
MO
Enumeration date
07/04/2006
Last updated
04/03/2008
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