NPI 1003383258

Jose J. Derdoy, MD, LLC

Organisation Pediatric Gastroenterology Physician Creve Coeur, MO

Practice location

Address: 845 N New Ballas CT STE 330, Creve Coeur, MO 63141-7169
Phone: (314) 744-9078

Authorised official

Name: Jose J Derdoy
Title: Owner/President
Phone: (314) 744-9078

Registered specialties

Pediatric Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0206X

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Registry record

NPI: 1003383258
Entity type: Organization
NPI issued: 25 Oct 2018
Record last updated: 11 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.