Search › Arizona › 363A00000X
Jeremy Derickson, PA-C
NPI 1821544503 · on the registry since 2016
Practice
- Address
- 3720 E Pueblo Ave
Mesa, AZ 85206 - Phone
- (928) 200-3526
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-10-21
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 Arizona