Edison Derr II
Edison Derr II is an Athletic Trainer in Saint Joseph, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2015
Practice location Address checks out
2214 Maple StSaint Joseph, MO 64507-1413
Phone: (419) 651-2323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 2013032471 (MO) |
|---|
Record details
| NPI number | 1861873952 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 15, 2015 |
| Last updated in NPPES | June 15, 2015 |
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