Individual
DERECK VONALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1551 E TANGERINE RD, ORO VALLEY, AZ 85755-6213
(520) 901-3500
Mailing address
592 STEWART AVE, COLUMBUS, OH 43206-2884
(330) 749-5731
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.396668
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
314258
AZ
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.0020316
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163W00000X
—
OH
Enumeration date
04/28/2021
Last updated
01/13/2025
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