Individual
DR. DAVID RONALD DERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
18738
MS
2085R0202X
Diagnostic Radiology Physician
Primary
44204
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01536317
—
MS
01
—
512G700003
MS MEDCIARE - GROUP
MS
01
—
P00261751
RAILROAD MEDICARE
MS
Enumeration date
06/30/2006
Last updated
07/21/2022
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