DERRICK DREW TRUMP

HATTIESBURG, MS
NPI1396108007
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MS  t-3227)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-03-30
Last Update Date2016-08-13
Business Address
-- DERRICK DREW TRUMP D.O.
5001 HARDY ST
HATTIESBURG, MS 39402-1308
Phone number: 601-268-8399
Mailing Address
-- DERRICK DREW TRUMP D.O.
124 JONATHAN DR
BECKLEY, WV 25801-4150
Phone number: 304-575-1268