Individual
DEREK DIBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
7301 N 16TH ST STE 102, PHOENIX, AZ 85020-5266
(480) 420-4027
Mailing address
410 WESTOVER CT, BELTON, MO 64012-1844
(816) 806-9287
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
259670
AZ
Other
Enumeration date
06/02/2021
Last updated
07/22/2021
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