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Search › Delaware › 101YA0400X

Derek Davis

NPI 1619299369 · on the registry since 2010 · sole proprietor

Practice

Address
604 W 10th St
Wilmington, DE 19801
Phone
(302) 737-4100
Fax
(302) 655-5030
Organisation at this address
Lotus West
Gaudenzia Inc
Gaudenzia, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YP2500X
Licence states on file
DE, PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-02-23

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 Delaware