Individual
MR. JASON ROBERT DERRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
318 MAIN ST, EVANSVILLE, IN 47708-1456
(812) 401-4243
Mailing address
2304 HERBERT AVE, EVANSVILLE, IN 47714-4108
(812) 202-1892
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
47-4307900
IN
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
47-4307900
IN
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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