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STEPHEN LENTZ DERRYBERRY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
330 N WABASH AVE STE 370, MARION, IN 46952-2678
(765) 660-7500
Mailing address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01094632B
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/12/2018
Last updated
09/12/2024
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