DR. Richard Derby, MD

NPI #1295720845 in O Fallon, Illinois

Provider Information

NPI Number
1295720845
Entity Type
Individual
Name
DR. Richard Derby, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine - Sports Medicine
Credential
MD
Enumeration Date
Sep 20, 2005
Last Updated
Dec 29, 2021

Practice Location

Address
670 PIERCE BLVD
ZIP Code
62269-2579
Phone
(618) 206-2094

Specialties & Taxonomy Codes

Specialty
Family Medicine - Sports MedicineSports Medicine

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