NPI 1083718266

Derek Kern Hewitt, MD

Practitioner Otolaryngology Physician Prescott, AZ

Practice location

Address: 1125 W Iron Springs Rd, Prescott, AZ 86305-1623
Phone: (928) 778-9190
Fax: (928) 778-3005
Mailing address: PO Box 7687, Columbia, MO 65202

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence T2003013836 (MO)

Other Otolaryngology providers in Arizona →

Registry record

NPI: 1083718266
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Sep 2006
Record last updated: 14 Aug 2012

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.