DEREK BRADLEY DOUGLAS

FORT LEONARD WOOD, MO
NPI1902307762
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MO  2021020693)
Enumeration Date2018-02-26
Last Update Date2022-05-10
Business Address
Dr. DEREK BRADLEY DOUGLAS D.O.
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 253-968-2997
Mailing Address
Dr. DEREK BRADLEY DOUGLAS D.O.
4430 MISSOURI AVE # 1267
FORT LEONARD WOOD, MO 65473-9098
Phone number:
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