Individual
DR. MICHAEL EDWARD DERZAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9911 N NEVADA ST STE B, SPOKANE, WA 99218-1298
(509) 484-5710
(509) 487-1000
Mailing address
9911 N NEVADA ST STE B, SPOKANE, WA 99218-1298
(509) 484-5710
(509) 487-1000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003454
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031789
—
WA
Enumeration date
12/01/2006
Last updated
04/11/2019
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