Search › Indiana › 208600000X
Stephen Derryberry
NPI 1588161814 · on the registry since 2018
Practice
- Address
- 330 N Wabash Ave Ste 370
Marion, IN 46952 - Phone
- (765) 660-7500
- Organisation at this address
- Walgreen Co
Urology Inc.
Urology Inc.
Dermatology, Pc
Ala Shiyab Md LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Additional practice sites
- 1161 21st Ave S, Nashville, TN
- 1044 Belmont Ave Dept Of, Youngstown, OH
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 390200000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana