Individual
DR. BRIAN C. DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
933 RED APPLE RD STE B, WENATCHEE, WA 98801-3370
(509) 665-6212
(509) 667-3370
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP60021759
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578573614
—
WA
01
—
338901
WVH LNI
WA
01
—
P01409880
RR MEDICARE WVH
WA
Enumeration date
08/09/2006
Last updated
07/14/2015
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