Derric A. Whiteside, D.O.

NPI #1083877518 in Nellis Afb, Nevada

Provider Information

NPI Number: 1083877518
Entity Type: Individual
Name: Derric A. Whiteside, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: D.O.
Enumeration Date: Jul 3, 2008
Last Updated: Oct 25, 2025

Practice Location

Address: 4700 LAS VEGAS BLVD N
City: Nellis Afb
State: Nevada
ZIP Code: 89191-6600
Phone: (702) 653-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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