Individual
DEREK S. PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1707 W CHARLESTON BLVD STE 160, LAS VEGAS, NV 89102-2354
(702) 671-5150
Mailing address
101 JUDGE TANNER BLVD STE 300, COVINGTON, LA 70433-7506
(985) 888-8750
(985) 888-8760
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
26665
MS
208600000X
Surgery Physician
313121
LA
2086S0102X
Surgical Critical Care Physician
Primary
322143
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2332171
—
LA
01
—
322143
NORTH OAKS MEDICAL CENTER / PHYSICIAN GROUP
LA
Enumeration date
04/23/2013
Last updated
04/04/2024
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