Individual
DR. DEREK HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
260 E 5TH ST N, BURLEY, ID 83318-3453
(208) 678-9760
(208) 678-9758
Mailing address
1224 8TH ST, RUPERT, ID 83350-1599
(208) 434-8236
(208) 436-6038
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
7861478
ID
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD.0000781
CO
213ES0103X
Foot & Ankle Surgery Podiatrist
T1344
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7861478
IDAHO PODIATRY LICENSE
ID
01
—
POD.0000781
COLORADO LICENSE
CO
01
—
T-1344
NEW MEXICO TEMPORARY LICENSE
NM
Enumeration date
08/06/2013
Last updated
02/28/2025
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