Individual
CRAIG S. DERKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-9327
(757) 668-9848
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9691
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101043687
VA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
0101043687
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010165601
—
VA
05
—
132251600
—
MD
05
—
890504N
—
NC
Enumeration date
05/10/2006
Last updated
12/07/2009
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