DERICK MORDUS

TACOMA, WA
NPI1861817785
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: NE  1346)
Enumeration Date2014-02-28
Last Update Date2019-03-05
Business Address
DERICK MORDUS DO
9040 JACKSON AVE
TACOMA, WA 98433
Phone number: 253-968-6968
Mailing Address
DERICK MORDUS DO
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 425-445-8924
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