MRS. Tina Faith Derr, PA-C
NPI #1093797961 in Dayton, Washington
Provider Information
- NPI Number
- 1093797961
- Entity Type
- Individual
- Name
- MRS. Tina Faith Derr, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 16, 2005
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 1012 SOUTH THIRD STREET
- Address 2
- COLUMBIA FAMILY CLINIC
- City
- Dayton
- State
- Washington
- ZIP Code
- 99328
- Phone
- (509) 382-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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