DEREK BURYL HEMERICK

KIRTLAND AFB, NM
NPI1255093647
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
Additional Taxonomies171000000X Military Health Care Provider
Enumeration Date2021-10-12
Last Update Date2023-03-27
Business Address
DEREK BURYL HEMERICK PA-C
2050A 2ND ST NE
KIRTLAND AFB, NM 87108
Phone number: 505-843-3200
Mailing Address
DEREK BURYL HEMERICK PA-C
2050A 2ND ST SE
KIRTLAND, NM 87108
Phone number: 505-846-3200