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Edison Derr
NPI 1861873952 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2214 Maple St
Saint Joseph, MO 64507 - Phone
- (419) 651-2323
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-15
- Status
- Not present in the most recent federal file
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 Missouri