Doctor Name: | DEREK RINGERS |
NPI Number: | 1003055815 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A. |
License Number: | C0003928 |
Business Practice Address: | Highway 160 To Route 59 Chilchinbeto Clinic Kayenta, AZ - 86033 |
Business Phone Number: | 4433707432 |
Business Fax Number: | |
Mailing Address: | Po Box 4870, KAYENTA |
State: | AZ |
Postal Code: | 860334870 |
Phone Number: | 4433707432 |
Fax Number: | |
NPI Enumeration Date: | 02/18/2009 |
NPI Last Update Date: | 04/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | C0003928 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |