SearchNew Mexico104100000X

Dereck Dedeaux

NPI 1811369416 · on the registry since 2015

Practice

Address
8400 Menaul Blvd Ne # A603
Albuquerque, NM 87112
Phone
(323) 270-4894

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Male
Record last updated
2015-10-22

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 New Mexico