Individual
DEREK KERN HEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1125 W IRON SPRINGS RD, PRESCOTT, AZ 86305-1623
(928) 778-9190
(928) 778-3005
Mailing address
PO BOX 7687, COLUMBIA, MO 65202
(573) 882-2259
(573) 884-8526
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
T2003013836
MO
Other
Enumeration date
09/11/2006
Last updated
08/14/2012
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