Jose J. Derdoy, Md, LLC
NPI #1003383258 in Creve Coeur, Missouri
Provider Information
- NPI Number
- 1003383258
- Entity Type
- Organization
- Organization Name
- Jose J. Derdoy, Md, LLC
- Primary Specialty
- Pediatrics - Pediatric Gastroenterology
- Enumeration Date
- Oct 25, 2018
- Last Updated
- Jun 11, 2019
Practice Location
- Address
- 845 N NEW BALLAS CT STE 330
- City
- Creve Coeur
- State
- Missouri
- ZIP Code
- 63141-7169
- Phone
- (314) 744-9078
Authorized Official
- Name
- JOSE J DERDOY, MD
- Title
- OWNER/PRESIDENT
- Phone
- (314) 744-9078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Pediatric Gastroenterology — Pediatric Gastroenterology |
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