Organization
DERRICK UMPHLETT MD PC
Active
Organization
DERRICK UMPHLETT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK C. UMPHLETT MD (OWNER)
(480) 609-9300
Entity
Organization
Contact information
Practice address
5102 W CAMPBELL AVE, PHOENIX, AZ 85031-1703
(480) 609-9300
(480) 609-9350
Mailing address
8970 E RAINTREE DR, SUITE 100, SCOTTSDALE, AZ 85260-7300
(480) 609-9300
(480) 609-9350
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684468
—
AZ
Enumeration date
01/13/2011
Last updated
06/18/2012
Update your record
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