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Individual

DAVID DERRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1755 KIRBY PKWY, STE 330, MEMPHIS, TN 38120
(901) 725-5846
(901) 726-4827
Mailing address
PO BOX 171306, MEMPHIS, TN 38187
(800) 809-2106
(334) 386-2037

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
133243
TN

Other

Enumeration date
01/20/2009
Last updated
01/20/2009
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