SUSAN A DERRY

OLYMPIA, WA
NPI1023109030
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: WA  MD60547005)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: ID  8161176)
Enumeration Date2006-09-27
Last Update Date2024-10-11
Business Address
SUSAN A DERRY MD
413 LILLY RD NE MSDDH09
OLYMPIA, WA 98506-5133
Phone number: 360-918-0119
Mailing Address
SUSAN A DERRY MD
PO BOX 5007
LACEY, WA 98509-5007
Phone number: 360-918-0119