Individual
DERREN S YERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8101 CLEARVISTA PARKWAY, SUITE 110, INDIANAPOLIS, IN 46256-4675
(317) 621-2566
(317) 621-2561
Mailing address
8101 CLEARVISTA PARKWAY, SUITE 110, INDIANAPOLIS, IN 46256-4675
(317) 621-2566
(317) 621-2561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01042804A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316819
ANTHEM
IN
01
—
P00112328
RR MEDICARE
IN
Enumeration date
07/19/2006
Last updated
09/20/2011
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