| NPI | 1912638446 |
|---|---|
| Other Name | DERICK JOSEPH RAWDING |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA006134) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA063669) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2024-10-10 |