Individual
MR. DEREK TALBIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
5959 PARK AVE, MEMPHIS, TN 38119-5200
(901) 550-7104
Mailing address
PO BOX 17172, MEMPHIS, TN 38187-0172
(901) 550-7104
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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