Jason David Derbort, M.D.

NPI #1578706263 in Harvest, Alabama

Provider Information

NPI Number: 1578706263
Entity Type: Individual
Name: Jason David Derbort, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: M.D.
Enumeration Date: Apr 12, 2009
Last Updated: Jul 23, 2012

Practice Location

Address: 14634 DOE RUN
City: Harvest
State: Alabama
ZIP Code: 35749-7577
Phone: (662) 242-7812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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