Individual
MR. DEREK MICHAEL EGGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PROVIDER CODE 22
Contact information
Practice address
7277 SMITHS MILL RD, NEW ALBANY, OH 43054-8195
(614) 440-1577
Mailing address
5735 GRANADA AVE, GALLOWAY, OH 43119-9577
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 002797
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
ATC
OH
Enumeration date
12/19/2006
Last updated
07/08/2007
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