Individual
DEREK BURYL HEMERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2050A 2ND ST NE, KIRTLAND AFB, NM 87108
(505) 843-3200
Mailing address
2050A 2ND ST SE, KIRTLAND, NM 87108
(505) 846-3200
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
03/27/2023
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