Individual
NOLAN DERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1119 HIGHLAND AVE, CLARKSTON, WA 99403-2836
(509) 254-2722
Mailing address
PO BOX 189, CLARKSTON, WA 99403-0189
(509) 758-1450
(509) 751-1504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1447782933
OH
207R00000X
Internal Medicine Physician
1447782933
UT
Other
Enumeration date
04/03/2017
Last updated
04/12/2023
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