Individual
DERRICK CLIFTON UMPHLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 S AVENUE A, YUMA, AZ 85364-7170
(928) 344-2000
(928) 336-7430
Mailing address
645 E MISSOURI AVE, STE 300, PHOENIX, AZ 85012-1351
(602) 262-8917
(602) 262-8890
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35861
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125213
—
AZ
Enumeration date
08/11/2006
Last updated
12/30/2020
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