NPI 1023109030

Susan a Derry, MD

Practitioner Emergency Medicine Physician Olympia, WA

Practice location

Address: 413 Lilly Rd NE Msddh09, Olympia, WA 98506-5133
Phone: (360) 918-0119
Mailing address: PO Box 5007, Lacey, WA 98509-5007

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence MD60547005 (WA)

Other Emergency Medicine providers in Washington →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 8161176 (ID)

Registry record

NPI: 1023109030
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2006
Record last updated: 11 Oct 2024

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.