Individual
DERRICK CRIPPS GALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
11131583-1205
UT
207Y00000X
Otolaryngology Physician
2013019934
MO
207Y00000X
Otolaryngology Physician
R6005
TX
Other
Enumeration date
09/06/2013
Last updated
08/16/2019
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