Search › Idaho › 363A00000X
Derek Vanderburg, PA-C
NPI 1922414598 · on the registry since 2014
Practice
- Address
- 703 S Americana Blvd Ste 120
Boise, ID 83702 - Phone
- (208) 706-2663
- Clinicians at this address
- 35
Additional practice sites
- 901 N Curtis Rd, Ste 501, Boise, ID
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- MN, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-08
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 Idaho