Individual
PAUL J DERDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
403 PRINCETON RD STE 10, JOHNSON CITY, TN 37601-2062
(423) 431-7340
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101036190
VA
Other
Enumeration date
01/30/2006
Last updated
08/20/2024
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