Individual
DR. DERRICK WAYNE SPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4950 ESSEN LN, SUITE 500, BATON ROUGE, LA 70809-3738
(225) 767-1311
(225) 767-1335
Mailing address
PO BOX 84460, BATON ROUGE, LA 70884-4460
(225) 526-0018
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD.023882
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1485918
—
LA
Enumeration date
07/23/2006
Last updated
04/20/2021
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