Individual
DERRICK ALWYN FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
DO091936
MD
2084N0400X
Neurology Physician
036150058
IL
2084N0400X
Neurology Physician
2018-01193
NC
2084N0400X
Neurology Physician
Primary
D0091936
MD
Other
Enumeration date
06/26/2012
Last updated
02/21/2025
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