Individual
DEREK JOSEPH FREESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1358
SC
363AS0400X
Surgical Physician Assistant
Primary
1358
SC
Other
Enumeration date
10/02/2008
Last updated
05/07/2025
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