Individual
DEREK KEON CALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-5600
(301) 295-4000
Mailing address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-5600
(301) 295-4000
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
04/23/2026
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