Individual
MR. CHAD ALAN DERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
201 TRUEBLOOD AVE, OSKALOOSA, IA 52577-1757
(641) 673-1093
(641) 673-1373
Mailing address
201 TRUEBLOOD AVE, OSKALOOSA, IA 52577-1757
(641) 673-1093
(641) 673-1373
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000722
IA
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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