Ryan Derrah

NPI #1083090625 in Fort Hood, Texas

Provider Information

NPI Number: 1083090625
Entity Type: Individual
Name: Ryan Derrah
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Enumeration Date: Aug 5, 2015
Last Updated: Aug 19, 2020

Practice Location

Address: 36065 SANTA FE AVE
City: Fort Hood
State: Texas
ZIP Code: 76544-5060
Phone: (503) 539-6893

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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