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1083718266
DEREK KERN HEWITT
PRESCOTT, AZ
NPI
1083718266
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: MO T2003013836)
Enumeration Date
2006-09-11
Last Update Date
2012-08-14
Business Address
-- DEREK KERN HEWITT MD
1125 W IRON SPRINGS RD
PRESCOTT, AZ 86305-1623
Phone number: 928-778-9190
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Mailing Address
-- DEREK KERN HEWITT MD
PO BOX 7687
COLUMBIA, MO 65202
Phone number: 573-882-2259
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