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Individual

DEREK L PASSER

Active
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Individual

DEREK L PASSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
101829
WI
207L00000X
Anesthesiology Physician
Primary
A182607
CA
207L00000X
Anesthesiology Physician
DR.0065803
CO
207L00000X
Anesthesiology Physician
MD61505577
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2280216
WA
Enumeration date
04/03/2017
Last updated
10/15/2024
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