Marizel M. Derby in Sandy - Corneal And Contact Management
Marizel M. Derby - NPI 1619923794
Marizel M. Derby is a Corneal And Contact Management in Sandy, Utah. Marizel M. Derby practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Marizel M. Derby is 1619923794. The last update date is 2007-07-08.
Marizel M. Derby's current location address is 977 Addington Cir, Sandy, Utah. You can contact this provider via phone number 8015997720. The mailing address for Marizel M. Derby is 977 Addington Cir, Sandy, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marizel M. Derby |
|---|---|
| Address | 977 Addington Cir, Sandy, Utah |
| Phone Number | 8015997720 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1619923794 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 977 Addington Cir |
|---|---|
| City | Sandy |
| State | Utah (UT) |
| Post Code | 840941615 |
| Phone Number | 8015997720 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | 372443-8908 |
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What is the unique 10-digit identifier code assigned to Marizel M. Derby by the Centers for Medicare & Medicaid Services?
The Marizel M. Derby has been issued the NPI (National Provider Identifier) 1619923794 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Marizel M. Derby is physically located?
The Marizel M. Derby is physically situated at the following address: 977 Addington Cir, Sandy, UT, 840941615.
What is Marizel M. Derby's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marizel M. Derby's specialized field of practice is Corneal And Contact Management, and the corresponding taxonomy code that categorizes this area of specialization is 152Wc0802X.
On what date did the Marizel M. Derby receive the assignment of its 1619923794 from the Centers for Medicare & Medicaid Services?
The Marizel M. Derby was issued its 1619923794 by the Centers for Medicare & Medicaid Services on 2006-05-26.
When was the information pertaining to Marizel M. Derby most recently updated or revised?
The details related to Marizel M. Derby, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY