Individual
DEREK ALLEN EWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1400 S COULTER ST, TTUHSC, AMARILLO, TX 79106-1786
(806) 354-5417
(806) 351-3787
Mailing address
2710 HARNEY ST, STE 100, LARAMIE, WY 82072-0001
(806) 354-5417
(806) 351-3787
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10577A
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2012
Last updated
06/16/2016
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