DEREK DERKACS

BOISE, ID
NPI1720157720
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-740)
Enumeration Date2006-11-06
Last Update Date2019-04-10
Business Address
Mr. DEREK DERKACS PA-C
100 E. IDAHO ST
BOISE, ID 83712
Phone number: 208-381-2733
Mailing Address
Mr. DEREK DERKACS PA-C
100 E. IDAHO ST
BOISE, ID 83712
Phone number: 208-381-2733
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