Individual
DR. DONALD JOSEPH DERIVAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
00014911
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000008502
MEDICARE INDIVIDUAL PROV
—
05
—
000008502
—
AL
01
—
051008502
BLUE CROSS BLUE SHIELD
AL
01
—
1497765721
NPI GROUP
—
01
—
180037758
RAILROAD MEDICARE
AL
01
—
H664
MEDICARE GROUP PROVIDER
AL
Enumeration date
12/21/2005
Last updated
05/08/2015
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