Individual
DANIEL DERKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
Mailing address
2400 TUCKER NE, MSC09 5040, ALBUQUERQUE, NM 87131-0001
(505) 272-1734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
86-28
NM
Other
Enumeration date
07/30/2006
Last updated
06/15/2012
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