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Individual

DEREK EDWARD KUNZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
110 IRVING ST NW, DEPT OF EMERGENCY MEDICINE, WASHINGTON, DC 20010-3017
(202) 877-8080
(202) 877-7633
Mailing address
110 IRVING ST NW, DEPT OF EMERGENCY MEDICINE, WASHINGTON, DC 20010-3017
(202) 877-8080
(202) 877-7633

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M13319
ID
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
0101257966
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/27/2012
Last updated
08/28/2017
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